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General NPI Number Information
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NPI Number | 1891958484
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Entity Type | Organization
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Legal Business Name | SANTIAGO MORALES MD PA
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 1840 MEASE DR SUITE 408
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-6602
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Country | US
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Telephone | 727-791-7822
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Fax | 727-725-8524
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Provider Business Mailing Address
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Address Line | 1840 MEASE DR SUITE 408
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-6602
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Country | US
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Telephone | 727-791-7822
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Fax | 727-725-8524
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANTIAGO MORALES
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Credential | MD PA
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Telephone | 727-791-7822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME64207
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License Number State | FL
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