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General NPI Number Information
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NPI Number | 1891797890
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Entity Type | Organization
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Legal Business Name | SANDRA PATRICIA GARCIA DPM PC
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 933 SOUTHERN BLVD
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City | BRONX
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State | NY
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Zip | 10459-4507
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Country | US
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Telephone | 718-542-0472
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Fax | 718-709-7652
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Provider Business Mailing Address
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Address Line | 7802 65TH ST
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City | GLENDALE
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State | NY
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Zip | 11385-6804
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Country | US
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Telephone | 718-542-0472
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Fax | 718-893-0418
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA PATRICIA GARCIA
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Credential | DPM
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Telephone | 718-542-0472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | NOO5534
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License Number State | NY
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