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General NPI Number Information
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NPI Number | 1871799312
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Entity Type | Individual
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Provider Name | JOSE A SANTANA MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3KS4 VIA MYRTA VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00983-4639
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Country | US
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Telephone | 787-757-0820
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Fax | 787-768-1900
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Provider Business Mailing Address
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Address Line | PO BOX 12005
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City | SAN JUAN
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State | PR
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Zip | 00914-0005
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Country | US
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Telephone | 787-757-0820
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Fax | 787-768-1900
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 5638
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License Number State | PR
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