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General NPI Number Information
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NPI Number | 1487430732
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Entity Type | Individual
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Provider Name | ALBERTO SANTIAGO JR.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 1006 SW DEL RIO BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-1967
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Country | US
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Telephone | 786-322-0051
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Fax | 772-353-5406
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Provider Business Mailing Address
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Address Line | 1006 SW DEL RIO BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-1967
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Country | US
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Telephone | 786-322-0051
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Fax | 772-353-5406
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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Taxonomy #4
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Taxonomy Code | 2472R0900X
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Taxonomy Name | Renal Dialysis Technician
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Taxonomy #5
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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Taxonomy #6
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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