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General NPI Number Information
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NPI Number | 1770888729
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Entity Type | Individual
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Provider Name | GIANNINA ROSA SANTOS ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 810 W MOWRY DR
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City | HOMESTEAD
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State | FL
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Zip | 33030-5746
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Country | US
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Telephone | 305-248-4334
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Fax | 305-245-1161
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Provider Business Mailing Address
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Address Line | 10300 SW 216TH STREET
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City | MIAMI
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State | FL
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Zip | 33190
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Country | US
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Telephone | 305-253-5100
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Fax | 305-254-4901
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9210757
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License Number State | FL
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