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General NPI Number Information
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NPI Number | 1831631605
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Entity Type | Individual
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Provider Name | MICHAEL GARCIA
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Gender | Male
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 3601 4TH ST # MS 8312
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City | LUBBOCK
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State | TX
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Zip | 79430-1802
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Country | US
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Telephone | 806-743-3676
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Fax | 806-743-2113
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Provider Business Mailing Address
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Address Line | 2222 W 24TH ST
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City | PLAINVIEW
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State | TX
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Zip | 79072-1802
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Country | US
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Telephone | 806-221-2979
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP132348
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License Number State | TX
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