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General NPI Number Information
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NPI Number | 1003013301
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Entity Type | Individual
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Provider Name | VALERIE MARIANA SANTIAGO-DOYLE DDS
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 5701 W SLAUGHTER LN SUITE B120
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City | AUSTIN
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State | TX
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Zip | 78749-6527
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Country | US
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Telephone | 512-467-4722
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Fax |
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Provider Business Mailing Address
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Address Line | 4508 HIBISCUS VALLEY DR
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City | AUSTIN
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State | TX
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Zip | 78739-1424
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Country | US
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Telephone | 713-304-4605
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 23399
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License Number State | TX
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