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General NPI Number Information
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NPI Number | 1558293886
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Entity Type | Individual
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Provider Name | ERIC DANIEL SANTANA
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Gender | Male
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 5850 6TH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-3263
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Country | US
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Telephone | 323-924-9084
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Fax |
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Provider Business Mailing Address
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Address Line | 7025 EL DORADO DR APT A
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City | BUENA PARK
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State | CA
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Zip | 90620-2451
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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