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General NPI Number Information
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NPI Number | 1972673770
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Entity Type | Individual
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Provider Name | JOSE DOMINGO GARCIA FNP
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 135 BUNTON CREEK RD STE 100
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City | KYLE
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State | TX
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Zip | 78640-5701
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Country | US
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Telephone | 512-268-2068
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Fax |
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Provider Business Mailing Address
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Address Line | 156 MAIN ST SUITE 100
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City | BUDA
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State | TX
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Zip | 78610
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Country | US
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Telephone | 512-351-4405
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Fax | 612-659-7101
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 667462
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License Number State | TX
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