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General NPI Number Information
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NPI Number | 1912197591
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Entity Type | Individual
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Provider Name | BERNADETTE M GARCIA P.T
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Gender | Female
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 7430 REMCON CIR STE A-110
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City | EL PASO
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State | TX
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Zip | 79912-3514
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Country | US
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Telephone | 915-584-0051
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Fax | 915-584-6764
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Provider Business Mailing Address
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Address Line | 9870 GATEWAY BLVD N STE B-7
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City | EL PASO
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State | TX
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Zip | 79924-4425
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Country | US
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Telephone | 915-751-5245
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Fax | 915-751-5255
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1175179
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License Number State | TX
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