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General NPI Number Information
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NPI Number | 1871748590
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Entity Type | Individual
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Provider Name | MIGUEL ANTONIO SANTANA LPN
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Gender | Male
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Dates
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Enumeration Date | 11/21/2008
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Last Update Date | 11/21/2008
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Provider Practice Location Address
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Address Line | 1863 SW 11 ST APT5
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City | MIAMI
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State | FL
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Zip | 33135
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Country | US
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Telephone | 786-222-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 1863 SW 11TH ST APT5
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City | MIAMI
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State | FL
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Zip | 33135-5141
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Country | US
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Telephone | 786-222-5011
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5160173
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License Number State | FL
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