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General NPI Number Information
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NPI Number | 1982040036
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Entity Type | Individual
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Provider Name | GALEN GARCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 1625 N CAMPBELL AVE
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City | TUCSON
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State | AZ
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Zip | 85719-4330
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Country | US
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Telephone | 520-694-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 E. PAINTED COLT LOOP
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City | TUCSON
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State | AZ
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Zip | 85719-1973
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Country | US
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Telephone |
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 56540
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R73776
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License Number State | AZ
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