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General NPI Number Information
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NPI Number | 1861718496
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Entity Type | Organization
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Legal Business Name | MANUEL A. GARCIA MDPA
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 1695 NW 110 AVE SUITE #309
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City | MIAMI
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State | FL
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Zip | 33172-1930
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Country | US
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Telephone | 305-551-2828
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Fax | 305-551-4334
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Provider Business Mailing Address
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Address Line | 1695 NW 110 AVE SUITE #309
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City | MIAMI
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State | FL
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Zip | 33172-1930
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Country | US
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Telephone | 305-551-2828
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Fax | 305-551-4334
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MANUEL ANTONIO GARCIA
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Credential | MD
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Telephone | 305-551-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME103739
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License Number State | FL
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