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General NPI Number Information
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NPI Number | 1831915487
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Entity Type | Individual
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Provider Name | ISAIAS SANTIAGO FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 5108 MCPHERSON RD STE 101-B
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City | LAREDO
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State | TX
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Zip | 78041-7321
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Country | US
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Telephone | 956-291-3090
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Fax | 956-804-5573
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Provider Business Mailing Address
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Address Line | 5108 MCPHERSON RD STE 101-B
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City | LAREDO
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State | TX
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Zip | 78041-7321
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Country | US
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Telephone | 956-291-3090
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Fax | 956-804-5573
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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 | 1182259
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 708044
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License Number State | TX
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