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General NPI Number Information
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NPI Number | 1538472287
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Entity Type | Organization
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Legal Business Name | M&M SANTANA SERVICES LLC
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 2898 S OSCEOLA AVE
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City | ORLANDO
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State | FL
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Zip | 32806-5461
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Country | US
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Telephone | 407-438-4844
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Fax | 407-438-4860
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Provider Business Mailing Address
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Address Line | 2898 S OSCEOLA AVE
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City | ORLANDO
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State | FL
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Zip | 32806-5461
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Country | US
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Telephone | 407-438-4844
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Fax | 407-438-4860
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL J SANTANA
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Credential |
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Telephone | 407-438-4844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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