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General NPI Number Information
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NPI Number | 1811361470
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Entity Type | Organization
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Legal Business Name | LMG HEALTHCARE PLLC
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 1721 CIMARRON TRL SUITE 5
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City | HURST
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State | TX
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Zip | 76054-3400
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Country | US
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Telephone | 817-267-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 1721 CIMARRON TRL SUITE 5
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City | HURST
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State | TX
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Zip | 76054-3400
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Country | US
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Telephone | 817-267-0550
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LYDIA M GARCIA
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Credential | DO
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Telephone | 817-729-2206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N9549
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License Number State | TX
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