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General NPI Number Information
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NPI Number | 1043301591
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Entity Type | Individual
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Provider Name | RICHARD SANTOS DDS
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 817 FEDERAL STREET
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City | CAMDEN
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State | NJ
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Zip | 08103
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Country | US
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Telephone | 856-541-9811
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Fax | 856-541-3340
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 848-288-6935
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02204001
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License Number State | NJ
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