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General NPI Number Information
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NPI Number | 1750522298
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Entity Type | Individual
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Provider Name | VLADIMIR SANTOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 08/23/2020
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Provider Practice Location Address
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Address Line | 7490 SW 23RD STREET 201
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City | MIAMI
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State | FL
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Zip | 33155-3031
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Country | US
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Telephone | 786-953-8221
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Fax |
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Provider Business Mailing Address
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Address Line | 7490 SW 23RD ST 201
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City | MIAMI
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State | FL
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Zip | 33155-1419
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Country | US
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Telephone | 786-953-8221
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | ACN289
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License Number State | FL
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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 | ACN289
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License Number State | FL
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