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General NPI Number Information
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NPI Number | 1841089893
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Entity Type | Individual
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Provider Name | MARTIN ALEXIS P. GARCIA JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 3055 ROSLYN ST UNIT 100
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City | DENVER
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State | CO
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Zip | 80238-3324
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Country | US
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Telephone | 720-553-2696
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Fax |
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Provider Business Mailing Address
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Address Line | 8814 W CAMBRIDGE AVE
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City | PHOENIX
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State | AZ
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Zip | 85037-3423
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Country | US
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Telephone | 602-487-3513
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TL.0010919
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License Number State | CO
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