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General NPI Number Information
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NPI Number | 1942667654
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Entity Type | Individual
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Provider Name | GABRIEL SANTAMARINA D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 69 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3033
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Country | US
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Telephone | 305-776-8047
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Fax | 305-909-6064
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Provider Business Mailing Address
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Address Line | 69 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3033
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Country | US
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Telephone | 305-776-8047
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Fax | 305-909-6064
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3804
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD001426
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License Number State | GA
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