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General NPI Number Information
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NPI Number | 1790612653
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Entity Type | Individual
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Provider Name | GIANLUCA GARCIA
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Gender | Male
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 100 W HIGGINS RD UNIT M90
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City | SOUTH BARRINGTON
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State | IL
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Zip | 60010-9428
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Country | US
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Telephone | 815-914-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 N MELVINA AVE
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City | CHICAGO
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State | IL
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Zip | 60630-2906
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Country | US
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Telephone | 815-914-1414
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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