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General NPI Number Information
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NPI Number | 1841200227
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Entity Type | Individual
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Provider Name | ERLINDA A SANTIAGO CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 630 WESR 168 TH STREET
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-305-2565
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Fax |
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Provider Business Mailing Address
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Address Line | 694 PASCACK RD
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City | PARAMUS
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State | NJ
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Zip | 07652-4235
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Country | US
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Telephone | 201-739-8888
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Fax | 732-446-0804
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 055186
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License Number State | NY
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