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General NPI Number Information
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NPI Number | 1578731097
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Entity Type | Individual
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Provider Name | GEORGE GERALD SANTAYANA DC
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Gender | Male
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 102900 OVERSEAS SUITE #8
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City | KEY LARGO
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State | FL
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Zip | 33037
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Country | US
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Telephone | 305-451-0440
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Fax | 305-451-4478
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Provider Business Mailing Address
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Address Line | 102900 OVERSEAS #8
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City | KEY LARGO
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State | FL
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Zip | 33037
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Country | US
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Telephone | 305-451-0440
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Fax | 305-451-4478
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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 | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | CH6113
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License Number State | FL
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