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General NPI Number Information
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NPI Number | 1932778917
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Entity Type | Individual
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Provider Name | MICHAEL GARCIA
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Gender | Male
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 1577 C ST, STE 105 916730
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City | ANCHORAGE
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State | AK
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Zip | 99501-5127
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Country | US
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Telephone | 907-891-8093
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Fax |
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Provider Business Mailing Address
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Address Line | 1577 C ST, STE 105 916730
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City | ANCHORAGE
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State | AK
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Zip | 99501-5127
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Country | US
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Telephone | 907-891-8093
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R50316
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-3126
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1088207
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 218673
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License Number State | AK
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