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General NPI Number Information
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NPI Number | 1790056810
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Entity Type | Individual
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Provider Name | GRETEL GARCIA
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Gender | Female
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 10/30/2013
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Provider Practice Location Address
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Address Line | 7800 S RED RD SUITE 108
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5528
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Country | US
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Telephone | 305-721-7682
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Fax |
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Provider Business Mailing Address
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Address Line | 8316 SW 65TH AVE APT 3
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City | MIAMI
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State | FL
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Zip | 33143-7927
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Country | US
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Telephone | 305-721-7682
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP 3336
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA 57057
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License Number State | FL
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