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General NPI Number Information
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NPI Number | 1902053911
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Entity Type | Organization
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Legal Business Name | JORGE J SANTIN MD INC
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 12446 SW 9TH TER
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City | MIAMI
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State | FL
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Zip | 33184-2601
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Country | US
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Telephone | 305-223-6998
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Fax |
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Provider Business Mailing Address
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Address Line | 12446 SW 9TH TER
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City | MIAMI
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State | FL
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Zip | 33184-2601
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Country | US
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Telephone | 305-223-6998
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JORGE J SANTIN
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Credential | MD
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Telephone | 305-223-6998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME102326
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License Number State | FL
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