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General NPI Number Information
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NPI Number | 1992922611
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Entity Type | Individual
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Provider Name | THOMAS PETER GARCIA D.C
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 800 HEARTWOOD 23
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City | BAYFIELD
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State | CO
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Zip | 81122-9381
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Country | US
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Telephone | 970-563-1006
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Fax | 970-563-9591
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Provider Business Mailing Address
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Address Line | P.O BOX 224
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City | BAYFIELD
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State | CO
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Zip | 81122
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Country | US
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Telephone | 970-563-1006
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Fax | 970-563-9591
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4962
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License Number State | CO
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