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General NPI Number Information
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NPI Number | 1154414399
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Entity Type | Organization
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Legal Business Name | SANTUCCI AND WEISS, PA
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1100 S BROAD ST
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City | TRENTON
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State | NJ
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Zip | 08611-1410
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Country | US
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Telephone | 609-393-6404
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Fax | 609-393-6424
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Provider Business Mailing Address
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Address Line | 1100 S BROAD ST
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City | TRENTON
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State | NJ
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Zip | 08611-1410
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Country | US
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Telephone | 609-393-6404
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Fax | 609-393-6424
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. STEVEN J SANTUCCI
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Credential | D.D.S.
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Telephone | 609-393-6404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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