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General NPI Number Information
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NPI Number | 1962526830
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Entity Type | Individual
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Provider Name | ELAINE SANTOS P.T.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2007
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 1921 S MASON RD
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City | KATY
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State | TX
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Zip | 77450-6258
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Country | US
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Telephone | 281-394-4591
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Fax | 908-756-2447
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Provider Business Mailing Address
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Address Line | 1921 S MASON RD
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City | KATY
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State | TX
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Zip | 77450-6258
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Country | US
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Telephone | 281-394-4591
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Fax | 908-756-2447
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | QA00925400
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License Number State | NJ
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