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General NPI Number Information
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NPI Number | 1417127234
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Entity Type | Organization
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Legal Business Name | JAMES SANTIAGO DC PA
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 132 VANBUREN STREET
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-344-7777
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Fax | 973-344-2223
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Provider Business Mailing Address
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Address Line | 132 VANBUREN STREET
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-344-7777
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Fax | 973-344-2223
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES JOSEPH SANTIAGO
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Credential | D.C. L.AC
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Telephone | 973-344-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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