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General NPI Number Information
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NPI Number | 1780112599
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Entity Type | Individual
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Provider Name | MARIE YVETTE GARCIA LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 2020 7TH ST
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City | LAS VEGAS
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State | NM
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Zip | 87701-4958
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Country | US
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Telephone | 505-587-1050
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Fax | 877-553-1272
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Provider Business Mailing Address
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Address Line | 1001 GALLINAS ST
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City | LAS VEGAS
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State | NM
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Zip | 87701-3826
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Country | US
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Telephone | 505-454-8882
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Fax | 505-426-0190
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | M-0592
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License Number State | NM
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