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General NPI Number Information
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NPI Number | 1922831452
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Entity Type | Individual
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Provider Name | HENRRY GARCIA DNP CRNA
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Gender | Male
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1701 VETERANS DR
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City | FLORENCE
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State | AL
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Zip | 35630-4928
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Country | US
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Telephone | 256-629-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 106 E TOMBIGBEE ST APT 11
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City | FLORENCE
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State | AL
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Zip | 35630-4781
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Country | US
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Telephone | 256-668-4078
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1-162624
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License Number State | AL
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