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General NPI Number Information
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NPI Number | 1063165629
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Entity Type | Individual
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Provider Name | EILEEN SANTIAGO RPH
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Gender | Female
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | CARR.111, AVE. LOS PATRIOTAS KM. 33.2
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City | LARES
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State | PR
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Zip | 00669
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Country | US
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Telephone | 787-897-2727
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 42450
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City | AGUADILLA
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State | PR
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Zip | 00603-9748
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH240573
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 6990
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License Number State | PR
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