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General NPI Number Information
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NPI Number | 1245235738
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Entity Type | Individual
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Provider Name | HECTOR LUIS SANTIESTEBAN MEDICAL DOCTOR
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1800 SULLIVAN AVE RM 507
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City | DALY CITY
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State | CA
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Zip | 94015-2225
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Country | US
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Telephone | 650-472-9667
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Fax | 650-745-7250
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Provider Business Mailing Address
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Address Line | 1800 SULLIVAN AVE RM 507
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City | DALY CITY
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State | CA
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Zip | 94015-2225
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Country | US
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Telephone | 415-573-4166
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Fax | 650-745-7250
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | G60085
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License Number State | CA
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