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General NPI Number Information
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NPI Number | 1508248733
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Entity Type | Individual
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Provider Name | ANGELICA SANTIAGO M.S.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | AVE CAMPO RICO 224-16 CALLE 601
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-762-6999
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Fax |
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Provider Business Mailing Address
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Address Line | UNIVERSITY GARDENS #306 CALLE GEORGETOWN
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-244-9992
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1252
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License Number State | PR
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