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General NPI Number Information
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NPI Number | 1700870078
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Entity Type | Individual
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Provider Name | JOANNA L SANTIESTEBAN MD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 160 N EAGLE CREEK DR STE 400
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City | LEXINGTON
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State | KY
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Zip | 40509-2124
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Country | US
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Telephone | 859-258-5220
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Fax | 859-258-5405
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Provider Business Mailing Address
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Address Line | 1221 S BROADWAY
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City | LEXINGTON
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State | KY
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Zip | 40504-2701
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Country | US
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Telephone | 859-258-6200
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Fax | 859-258-6203
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 39452
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 39452
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 39452
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License Number State | KY
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