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General NPI Number Information
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NPI Number | 1780391110
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Entity Type | Individual
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Provider Name | JAVIER MARTIN SANTOS APRN
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Gender | Male
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Dates
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Enumeration Date | 11/04/2022
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 545 CREEKSIDE XING STE 218
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-4565
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Country | US
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Telephone | 210-798-4311
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Fax | 210-798-4317
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Provider Business Mailing Address
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Address Line | PO BOX 5730
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City | BELFAST
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State | ME
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Zip | 04915-5700
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Country | US
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Telephone | 888-402-7256
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Fax | 888-902-1099
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1100749
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License Number State | TX
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