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General NPI Number Information
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NPI Number | 1851499941
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Entity Type | Individual
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Provider Name | NELSON R POU-DE SANTIAGO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1750 17TH ST STE N
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City | SARASOTA
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State | FL
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Zip | 34234-8690
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Country | US
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Telephone | 941-529-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 17TH ST STE N
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City | SARASOTA
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State | FL
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Zip | 34234-8690
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Country | US
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Telephone | 415-290-2009
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME13326
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD2013-0965
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 12031
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301087009
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License Number State | MI
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