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General NPI Number Information
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NPI Number | 1972577237
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Entity Type | Individual
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Provider Name | LUIS SANTIAGO CONTRERAS MD
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10441 QUALITY DR SUITE 100
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City | SPRING HILL
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State | FL
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Zip | 34609
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Country | US
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Telephone | 352-666-0780
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Fax | 352-666-0704
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Provider Business Mailing Address
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Address Line | 14690 SPRING HILL DR SUITE 100 ATTN:CREDENTIALING
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City | SPRING HILL
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State | FL
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Zip | 34609-8102
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Country | US
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Telephone | 352-799-0046
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Fax | 352-606-2857
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME45720
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License Number State | FL
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