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General NPI Number Information
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NPI Number | 1760804124
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Entity Type | Organization
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Legal Business Name | VIRGINIA GARAY, M.D., P.A.
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Dates
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Enumeration Date | 01/19/2014
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Last Update Date | 01/19/2014
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Provider Practice Location Address
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Address Line | 3355 BEE CAVES RD STE. 507
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6775
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Country | US
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Telephone | 512-865-5412
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 BEE CAVES RD STE. 507
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6775
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Country | US
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Telephone | 512-865-5412
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIRGINIA GARAY
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Credential | M.D.
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Telephone | 512-865-5412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N2519
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License Number State | TX
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