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General NPI Number Information
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NPI Number | 1932748324
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Entity Type | Individual
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Provider Name | ALEC RYAN GARCIA RT(MR)
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Gender | Male
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 24331 EL TORO RD
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-2752
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Country | US
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Telephone | 949-586-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 24331 EL TORO RD
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-2752
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Country | US
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Telephone | 949-586-3200
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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 | 207RM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Internal Medicine Physician
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License Number | 574946
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License Number State | CA
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