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General NPI Number Information
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NPI Number | 1649436734
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Entity Type | Individual
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Provider Name | JORGE JESUS SANTIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 8840 BIRD RD STE 100
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City | MIAMI
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State | FL
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Zip | 33165-5482
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Country | US
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Telephone | 786-596-3890
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Fax | 786-596-3889
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Provider Business Mailing Address
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Address Line | 12446 SW 9TH TER
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City | MIAMI
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State | FL
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Zip | 33184-2601
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Country | US
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Telephone | 305-972-1308
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Fax | 305-264-0253
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME102326
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License Number State | FL
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