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General NPI Number Information
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NPI Number | 1639573868
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Entity Type | Individual
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Provider Name | MAGDARIS AIDA SANTIAGO-MCQUAID AU.D
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Gender | Female
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 2900 W CYPRESS CREEK RD. SUITE #3
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City | FT. LAUDERDALE
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State | FL
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Zip | 33309
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Country | US
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Telephone | 954-601-1930
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Fax | 954-601-1399
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Provider Business Mailing Address
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Address Line | 2900 W CYPRESS CREEK RD. SUITE #3
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City | FT. LAUDERDALE
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State | FL
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Zip | 33309
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Country | US
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Telephone | 954-601-1930
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Fax | 954-601-1399
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY 584
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License Number State | FL
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