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General NPI Number Information
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NPI Number | 1407901614
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Entity Type | Individual
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Provider Name | MICHELLE ELIZABETH SANTOS OTR
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 E OAKLAND PARK BLVD SUITE # 102
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City | OAKLAND PARK
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State | FL
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Zip | 33334-1100
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Country | US
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Telephone | 954-561-0058
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Fax | 954-563-2558
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Provider Business Mailing Address
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Address Line | 580 SE 13TH ST
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City | POMPANO BEACH
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State | FL
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Zip | 33060-9312
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Country | US
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Telephone | 954-941-3677
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Fax | 954-942-6731
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OT 10355
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License Number State | FL
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