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General NPI Number Information
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NPI Number | 1912293739
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Entity Type | Individual
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Provider Name | MARGARET JOAN GARNER D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 331 SIJEN AVE 509TH MEDICAL GROUP, FAMILY PRACTICE
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City | WHITEMAN AFB
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State | MO
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Zip | 65305-1269
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Country | US
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Telephone | 660-687-3554
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Fax |
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Provider Business Mailing Address
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Address Line | 331 SIJAN AVENUE 509TH MEDICAL GROUP, FAMILY PRACTICE
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City | WHITEMAN AFB
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State | MO
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Zip | 65305-5021
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Country | US
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Telephone | 660-687-3554
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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 | 125.060210
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 992
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License Number State | NE
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