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General NPI Number Information
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NPI Number | 1851608954
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Entity Type | Individual
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Provider Name | GABRIEL FERNANDO SANTIAGO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1300 CHAIN BRIDGE RD FL 2
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City | MC LEAN
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State | VA
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Zip | 22101-3935
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Country | US
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Telephone | 703-688-8918
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Fax |
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Provider Business Mailing Address
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Address Line | 601 N CAROLINE ST JHOC 8161
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City | BALTIMORE
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State | MD
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Zip | 21287-0006
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Country | US
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Telephone |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | D81920
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | D0081920
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | D0081920
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License Number State | MD
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