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General NPI Number Information
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NPI Number | 1861808669
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Entity Type | Individual
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Provider Name | EDUARDO GARZA JR. PA
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Gender | Male
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 1455 NW LEARY WAY STE 250
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City | SEATTLE
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State | WA
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Zip | 98107-5138
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Country | US
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Telephone | 206-789-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N 85TH ST UNIT 210
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City | SEATTLE
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State | WA
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Zip | 98103-3868
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Country | US
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Telephone | 956-206-4395
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 60516217
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License Number State | WA
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