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General NPI Number Information
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NPI Number | 1043438161
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Entity Type | Organization
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Legal Business Name | CELESTINO SANTI DO PA
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 1300 E BURLEIGH BLVD
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City | TAVARES
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State | FL
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Zip | 32778-4305
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Country | US
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Telephone | 352-742-1500
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Fax | 352-742-2530
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Provider Business Mailing Address
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Address Line | 1300 E BURLEIGH BLVD
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City | TAVARES
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State | FL
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Zip | 32778-4305
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Country | US
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Telephone | 352-742-1500
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Fax | 352-742-2530
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CELESTINO DAVID SANTI
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Credential | DO
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Telephone | 352-742-1500
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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 | OS5119
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License Number State | FL
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