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General NPI Number Information
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NPI Number | 1780547141
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Entity Type | Individual
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Provider Name | GREGORY JAMES GARCIA
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Gender | Male
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 520 N MAIN ST
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City | BELEN
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State | NM
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Zip | 87002-3720
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Country | US
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Telephone | 505-966-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1064 VALLECITO LOOP NW
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City | LOS LUNAS
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State | NM
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Zip | 87031-8968
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Country | US
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Telephone | 505-966-1000
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | SW-1064
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License Number State | NM
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