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General NPI Number Information
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NPI Number | 1134892862
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Entity Type | Organization
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Legal Business Name | SANTOS OBGYN ADVANCED CARE LLC
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 12550 BISCAYNE BLVD BLDG SUITE906
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2541
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Country | US
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Telephone | 305-931-7960
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Fax | 305-931-7957
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Provider Business Mailing Address
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Address Line | 12550 BISCAYNE BLVD BLDG SUITE906
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2541
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Country | US
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Telephone | 305-931-7960
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Fax | 305-931-7957
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | REMBERTO SANTOS
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Credential | MD
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Telephone | 786-395-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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