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General NPI Number Information
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NPI Number | 1033773999
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Entity Type | Individual
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Provider Name | MRS. DANIELLE SANTIAGO-COFIELD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 04/26/2019
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Provider Practice Location Address
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Address Line | 9611 SEAMILL RD
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City | CHARLOTTE
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State | NC
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Zip | 28278-8008
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Country | US
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Telephone | 704-941-8984
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Fax |
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Provider Business Mailing Address
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Address Line | 1813 MERRIMAN AVE
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City | CHARLOTTE
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State | NC
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Zip | 28203-4611
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Country | US
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Telephone | 704-941-8984
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | C109102
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License Number State | NC
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