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General NPI Number Information
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NPI Number | 1144922527
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Entity Type | Individual
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Provider Name | GIOVANNI SANTILLAN MSN, APRN, ACNPC-AG
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Gender | Male
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 4401 GARTH RD
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City | BAYTOWN
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State | TX
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Zip | 77521-2122
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Country | US
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Telephone | 281-420-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 505 SLAYDON ST
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City | HENDERSON
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State | TX
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Zip | 75654-4054
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Country | US
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Telephone | 832-984-5901
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1110081
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License Number State | TX
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