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General NPI Number Information
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NPI Number | 1780512558
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Entity Type | Individual
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Provider Name | CAROLINE GARCIA
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 2354 E BONANZA RD
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City | LAS VEGAS
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State | NV
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Zip | 89101-3451
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Country | US
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Telephone | 702-476-2287
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Fax |
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Provider Business Mailing Address
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Address Line | 12213 LOST TREASURE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-5009
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Country | US
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Telephone | 480-848-2895
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 842447
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License Number State | NV
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