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General NPI Number Information
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NPI Number | 1831665124
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Entity Type | Individual
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Provider Name | ERIK A GARCIA SANTIAGO
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Gender | Male
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | LOMAS GARCIA, CARR. 165
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City | NARANJITO
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State | PR
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Zip | 00719
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Country | US
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Telephone | 787-216-3347
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Fax |
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Provider Business Mailing Address
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Address Line | HC 71 BOX 2559
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City | NARANJITO
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State | PR
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Zip | 00719-9759
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Country | US
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Telephone | 787-216-3347
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 5138-1
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License Number State | PR
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