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General NPI Number Information
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NPI Number | 1144402793
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Entity Type | Individual
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Provider Name | CHAUNCEY B SANTOS MD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 6719 GOV G C PEERY HWY SUITE 1000
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City | RICHLANDS
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State | VA
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Zip | 24641-0880
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Country | US
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Telephone | 276-596-6715
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Fax | 276-596-6717
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Provider Business Mailing Address
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Address Line | PO BOX 490
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City | RICHLANDS
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State | VA
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Zip | 24641-0490
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Country | US
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Telephone | 706-951-8241
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Fax | 276-596-6717
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 30089
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License Number State | NC
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