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General NPI Number Information
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NPI Number | 1154569895
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Entity Type | Individual
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Provider Name | DANIEL MICHAEL SANTIONI PT
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Gender | Male
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 115 E GRAND RIVER AVE
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City | FOWLERVILLE
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State | MI
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Zip | 48836-5137
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Country | US
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Telephone | 517-223-8308
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Fax | 517-223-8344
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Provider Business Mailing Address
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Address Line | PO BOX 323
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City | FOWLERVILLE
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State | MI
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Zip | 48836-0323
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Country | US
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Telephone | 517-223-8308
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Fax | 517-223-8344
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501003812
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License Number State | MI
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