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General NPI Number Information
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NPI Number | 1851860415
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Entity Type | Individual
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Provider Name | ANA GARCIA FNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 2919 S ELLSWORTH RD STE 115
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City | MESA
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State | AZ
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Zip | 85212-2165
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Country | US
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Telephone | 480-939-3675
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Fax |
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Provider Business Mailing Address
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Address Line | 2327 E WINCHESTER PL
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City | CHANDLER
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State | AZ
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Zip | 85286-1222
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Country | US
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Telephone | 602-316-8868
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP11798
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License Number State | AZ
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