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General NPI Number Information
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NPI Number | 1366800237
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Entity Type | Individual
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Provider Name | ANA GRACIA SANTOS DDS
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Gender | Female
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 39736 CEDAR BLVD
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City | NEWARK
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State | CA
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Zip | 94560-5360
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Country | US
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Telephone | 510-284-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 40445 ROBIN ST
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City | FREMONT
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State | CA
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Zip | 94538-2843
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Country | US
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Telephone | 408-420-4805
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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 | 63981
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License Number State | CA
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