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General NPI Number Information
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NPI Number | 1811159890
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Entity Type | Organization
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Legal Business Name | MARIA GARCIA-LARRIEU PA
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1522 SAN IGNACIO AVE STE. 1
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City | CORAL GABLES
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State | FL
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Zip | 33146-3029
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Country | US
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Telephone | 305-663-1600
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Fax | 305-663-1633
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Provider Business Mailing Address
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Address Line | 1522 SAN IGNACIO AVE STE. 1
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City | CORAL GABLES
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State | FL
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Zip | 33146-3029
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Country | US
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Telephone | 305-663-1600
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Fax | 305-663-1633
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA GARCIA-LARRIEU
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Credential | PSY.D.
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Telephone | 305-663-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6629
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License Number State | FL
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