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NPI 1972566453

NPI 1972566453 : HAE GARCIA DDS : SPRING, TX

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General NPI Number Information
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    NPI Number           |    1972566453
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    Entity Type          |    Individual 
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    Provider Name        |    HAE GARCIA DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/07/2006
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    Last Update Date     |    06/17/2015
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Provider Practice Location Address
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    Address Line         |    7901 RESEARCH FOREST DR SUITE 800
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77382-1482
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    Country              |    US
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    Telephone            |    281-658-4652
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 9202 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77387-9202
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    Country              |    US
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    Telephone            |    281-658-4652
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    16762
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    License Number State |    TX
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