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General NPI Number Information
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NPI Number | 1992834691
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Entity Type | Individual
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Provider Name | FRED GARCIA JR. P.T.
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 S MAIN ST
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City | WINTERS
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State | TX
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Zip | 79567-5110
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Country | US
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Telephone | 325-754-4381
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Fax | 325-754-4415
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Provider Business Mailing Address
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Address Line | 120 S MAIN ST
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City | WINTERS
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State | TX
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Zip | 79567-5110
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Country | US
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Telephone | 325-754-4381
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Fax | 325-754-4415
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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 | 1059616
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License Number State | TX
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