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General NPI Number Information
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NPI Number | 1316328453
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Entity Type | Individual
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Provider Name | VICTORIA SANTIBANEZ DDS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 5102 FM 1463 RD STE 100
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City | KATY
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State | TX
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Zip | 77494-7871
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Country | US
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Telephone | 281-204-2156
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Fax | 281-547-7340
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Provider Business Mailing Address
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Address Line | 22207 MERRYMOUNT DR
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City | KATY
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State | TX
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Zip | 77450-2419
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Country | US
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Telephone | 214-808-4726
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 31000
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License Number State | TX
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