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General NPI Number Information
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NPI Number | 1982131199
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Entity Type | Individual
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Provider Name | AARON GARCIA MS, ATC
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Gender | Male
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6121 HOLLIS ST STE 2
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City | EMERYVILLE
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State | CA
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Zip | 94608-2078
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Country | US
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Telephone | 925-701-1181
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Fax |
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Provider Business Mailing Address
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Address Line | 15033 FLEMING ST
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City | SAN LEANDRO
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State | CA
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Zip | 94579-1713
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Country | US
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Telephone | 510-786-8364
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2000027349
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License Number State | CA
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