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General NPI Number Information
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NPI Number | 1942526751
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Entity Type | Individual
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Provider Name | SHAUN ERIK GARCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 4900 MUELLER BLVD
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City | AUSTIN
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State | TX
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Zip | 78723-3079
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Country | US
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Telephone | 512-324-0165
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Fax |
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Provider Business Mailing Address
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Address Line | 499 DINI ROZI DR
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City | SOCORRO
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State | TX
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Zip | 79927-3253
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Country | US
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Telephone | 915-603-0633
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | BP1-0036637
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License Number State | TX
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