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General NPI Number Information
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NPI Number | 1326473232
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Entity Type | Individual
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Provider Name | TANIA RANGEL SANTOS DDS
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Gender | Female
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 9831 NW 58TH ST SUITE 138
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City | DORAL
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State | FL
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Zip | 33178-2713
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Country | US
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Telephone | 305-456-5494
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Fax |
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Provider Business Mailing Address
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Address Line | 4713 NW 9TH PL
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City | DORAL
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State | FL
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Zip | 33178-1404
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Country | US
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Telephone | 305-807-4447
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Fax | 305-406-2442
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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 | DN20390
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License Number State | FL
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