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General NPI Number Information
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NPI Number | 1922076322
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Entity Type | Individual
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Provider Name | NANCY SANTIAGO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | PMB 276 RD19 #1353
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-614-0520
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Fax |
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Provider Business Mailing Address
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Address Line | AVE LOPATEGUI SUITE 203
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City | GUAYNABO
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State | PR
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Zip | 00969-4595
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Country | US
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Telephone | 787-789-4510
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 858706
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License Number State | PR
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