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General NPI Number Information
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NPI Number | 1881994929
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Entity Type | Individual
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Provider Name | YOLANDA GARCIA
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Gender | Female
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 3023 CALLE CARAMBOLA LOS CAOBOS
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City | PONCE
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State | PR
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Zip | 00716-2739
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Country | US
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Telephone | 787-843-4232
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Fax | 787-844-4130
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Provider Business Mailing Address
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Address Line | 3023 CALLE CARAMBOLA LOS CAOBOS
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City | PONCE
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State | PR
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Zip | 00716-2739
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Country | US
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Telephone | 787-843-4232
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Fax | 787-844-4130
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACIII15622739
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License Number State | PR
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