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General NPI Number Information
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NPI Number | 1861022188
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Entity Type | Individual
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Provider Name | PEDRO GARCIA APRN-FNP
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Gender | Male
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Dates
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Enumeration Date | 01/26/2020
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 2824 N VETERANS BLVD STE A
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City | EAGLE PASS
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State | TX
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Zip | 78852-6695
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Country | US
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Telephone | 830-213-8815
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Fax | 830-500-3111
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Provider Business Mailing Address
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Address Line | 11935 W MILE 8 RD
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City | MISSION
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State | TX
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Zip | 78573-4479
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Country | US
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Telephone | 956-292-5640
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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 | AP144617
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License Number State | TX
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