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General NPI Number Information
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NPI Number | 1700266657
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Entity Type | Individual
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Provider Name | DAVID SANTANA DMD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 2820 N UNIVERSITY DRIVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33065
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Country | US
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Telephone | 954-775-0185
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Fax |
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Provider Business Mailing Address
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Address Line | 11665 NW 83RD WAY
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City | PARKLAND
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State | FL
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Zip | 33076-3594
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Country | US
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Telephone | 954-829-8276
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN21226
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License Number State | FL
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