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General NPI Number Information
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NPI Number | 1538782925
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Entity Type | Individual
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Provider Name | MRS. KIMBERLY HOPPER SANTIAGO
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Gender | Female
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 1695 NW 9TH AVE STE 1208-D
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City | MIAMI
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State | FL
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Zip | 33136-1409
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Country | US
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Telephone | 305-355-8085
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Fax | 305-355-7174
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Provider Business Mailing Address
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Address Line | AVE FELIX ALDARONDO S. 1357
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City | ISABELA
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State | PR
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Zip | 00662
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Country | US
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Telephone | 939-279-9679
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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