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General NPI Number Information
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NPI Number | 1205827144
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Entity Type | Individual
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Provider Name | YOLANDA A SANTOS MD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 106 HAWTHORN LN
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City | DANIELS
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State | WV
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Zip | 25832-9269
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Country | US
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Telephone | 304-763-3674
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 580
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City | BECKLEY
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State | WV
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Zip | 25802-0580
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Country | US
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Telephone | 304-763-3674
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 13221
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13221
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License Number State | WV
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