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General NPI Number Information
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NPI Number | 1427133651
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Entity Type | Individual
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Provider Name | DEBRA LEE DE SANTIS R.PH.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6700 DELTA DR
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City | EL PASO
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State | TX
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Zip | 79905-5506
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Country | US
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Telephone | 915-782-6328
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Fax | 905-782-6329
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Provider Business Mailing Address
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Address Line | 8709 GALENA DR
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City | EL PASO
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State | TX
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Zip | 79904-1715
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Country | US
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Telephone | 915-782-6328
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Fax | 915-782-6329
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23758
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License Number State | TX
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