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General NPI Number Information
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NPI Number | 1164597449
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Entity Type | Individual
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Provider Name | ALIA SANTOYO O.D.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 1935 95TH ST UNIT 119
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City | NAPERVILLE
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State | IL
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Zip | 60564-9685
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Country | US
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Telephone | 630-445-8166
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Fax |
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Provider Business Mailing Address
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Address Line | 3015 E NEW YORK ST STE A
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City | AURORA
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State | IL
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Zip | 60504-5162
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 46009925
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License Number State | IL
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