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General NPI Number Information
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NPI Number | 1346139961
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Entity Type | Individual
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Provider Name | ELVIA LINNETTE SANTIAGO FNP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1001 VIRGINIA AVE STE 150
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City | HAPEVILLE
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State | GA
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Zip | 30354-1373
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Country | US
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Telephone | 404-789-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 230 OLDE OAK DR
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City | JONESBORO
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State | GA
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Zip | 30238-5648
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Country | US
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Telephone | 404-789-4366
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN295100
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License Number State | GA
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