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General NPI Number Information
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NPI Number | 1871785063
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Entity Type | Individual
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Provider Name | ORENCIO GARCIA-BRENES M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | FPC MONTGOMERY, MAXWELL AFB, 930 RIVER RD. BLDG. 1226
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City | MONTGOMERY
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State | AL
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Zip | 36112
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Country | US
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Telephone | 334-293-2161
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Fax | 334-293-2328
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Provider Business Mailing Address
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Address Line | 104 NATCHEZ CT
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City | MONTGOMERY
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State | AL
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Zip | 36117-4011
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Country | US
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Telephone | 334-213-7332
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12610
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License Number State | PR
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