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General NPI Number Information
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NPI Number | 1841480050
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Entity Type | Individual
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Provider Name | ANTONIO LUMABAN GARCIA MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 428 CHALAN SAN ANTONIO P&F PROFESSIONAL MANOR SUITE 101
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City | TAMUNING
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State | GU
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Zip | 96913
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Country | US
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Telephone | 671-647-9893
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Fax | 671-646-4429
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Provider Business Mailing Address
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Address Line | 241 CONDO LANE ALUPANG COVE APT 106
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City | TAMUNING
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State | GU
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Zip | 96913
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Country | US
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Telephone | 671-649-2222
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M001493
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License Number State | GU
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