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General NPI Number Information
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NPI Number | 1942284427
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Entity Type | Individual
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Provider Name | MAURICIO GARCIA MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 4820 COLLEGE BLVD
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1601
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Country | US
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Telephone | 913-491-3999
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Fax | 816-875-2598
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Provider Business Mailing Address
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Address Line | 5101 COLLEGE BLVD
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City | LEAWOOD
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State | KS
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Zip | 66211-1614
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Country | US
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Telephone | 816-478-4200
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0430352
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 0430352
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License Number State | KS
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