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General NPI Number Information
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NPI Number | 1831732817
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Entity Type | Individual
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Provider Name | ILAN GARCIA
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Gender | Male
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 8200 NW 41ST ST STE 135
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City | DORAL
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State | FL
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Zip | 33166-6204
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Country | US
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Telephone | 786-312-3592
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Fax |
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Provider Business Mailing Address
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Address Line | 7921 SW 13TH TER
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City | MIAMI
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State | FL
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Zip | 33144-5219
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH20806
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License Number State | FL
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