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General NPI Number Information
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NPI Number | 1962954222
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Entity Type | Individual
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Provider Name | MARISOL ISABEL SANTAMARINA ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3239 NW YORK DR
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City | LAKE CITY
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State | FL
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Zip | 32055-8641
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Country | US
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Telephone | 386-752-0515
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Fax | 386-752-3815
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Provider Business Mailing Address
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Address Line | 4645 NW 8TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32605-4524
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Country | US
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Telephone | 352-375-1212
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Fax | 352-416-0818
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP9264170
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License Number State | FL
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