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General NPI Number Information
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NPI Number | 1144461369
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Entity Type | Organization
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Legal Business Name | SANTANA FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 2646 NARNIA WAY SUITE 102
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City | LAND O LAKES
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State | FL
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Zip | 34638-7231
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Country | US
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Telephone | 813-448-2222
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Fax | 813-448-3873
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Provider Business Mailing Address
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Address Line | 2646 NARNIA WAY SUITE 102
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City | LAND O LAKES
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State | FL
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Zip | 34638-7231
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Country | US
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Telephone | 813-448-2222
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Fax | 813-448-3873
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. JORGE LUIS SANTANA
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Credential | D.C.
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Telephone | 813-448-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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