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General NPI Number Information
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NPI Number | 1811941651
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Entity Type | Individual
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Provider Name | FRANK SANTOS MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 5301 BROADWAY
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-2622
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Country | US
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Telephone | 201-866-9320
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Fax | 201-330-3825
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Provider Business Mailing Address
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Address Line | 353 E HARRIET AVE
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City | PALISADES PARK
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State | NJ
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Zip | 07650-1912
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Country | US
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Telephone | 201-941-4405
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Fax | 201-941-4408
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MA70747
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA70747
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License Number State | NJ
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