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General NPI Number Information
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NPI Number | 1962682203
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Entity Type | Individual
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Provider Name | DR. DOUGLAS SANTIAGO
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Gender | Male
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Dates
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Enumeration Date | 11/04/2007
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 36854 DIEGO SPRINGS AVE
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City | MURRIETA
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State | CA
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Zip | 92563-3123
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Country | US
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Telephone | 619-940-8967
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Fax |
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Provider Business Mailing Address
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Address Line | 36854 DIEGO SPRINGS AVE
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City | MURRIETA
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State | CA
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Zip | 92563-3123
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Country | US
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Telephone | 619-940-8967
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 3283
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | DA6557
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License Number State | AZ
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