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General NPI Number Information
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NPI Number | 1629257191
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Entity Type | Organization
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Legal Business Name | EDUARDO SANTOS UY MD INC
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 9717 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335-6716
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Country | US
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Telephone | 909-822-3400
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Fax | 909-886-8881
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Provider Business Mailing Address
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Address Line | 9717 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335-6716
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Country | US
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Telephone | 909-822-3400
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Fax | 909-886-8881
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDUARDO SANTOS UY
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Credential | M.D.
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Telephone | 909-886-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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