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NPI 1962540526

NPI 1962540526 : ERNESTINA C. GARCIA P.T.,D.P.T. : WESLACO, TX

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General NPI Number Information
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    NPI Number           |    1962540526
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    Entity Type          |    Individual 
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    Provider Name        |    ERNESTINA C. GARCIA P.T.,D.P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/03/2007
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    Last Update Date     |    11/21/2008
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Provider Practice Location Address
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    Address Line         |    415 S AIRPORT DR STE C 
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    City                 |    WESLACO
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    State                |    TX
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    Zip                  |    78596-5396
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    Country              |    US
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    Telephone            |    956-447-0615
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    Fax                  |    956-447-0608
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Provider Business Mailing Address
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    Address Line         |    415 S AIRPORT DR STE C 
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    City                 |    WESLACO
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    State                |    TX
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    Zip                  |    78596-5396
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    Country              |    US
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    Telephone            |    956-447-0615
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    Fax                  |    956-447-0608
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1056364
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    License Number State |    TX
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