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General NPI Number Information
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NPI Number | 1033119938
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Entity Type | Individual
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Provider Name | JENNIFER CATANAOAN SANTIAGO FNP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 04/18/2011
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Provider Practice Location Address
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Address Line | 3801 BLUE PKWY
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City | KANSAS CITY
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State | MO
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Zip | 64130-2807
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Country | US
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Telephone | 816-922-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 500A SE 3RD TER
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2862
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 138186
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 14-73960-062
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 138186
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 45598
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License Number State | KS
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