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General NPI Number Information
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NPI Number | 1194892695
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Entity Type | Individual
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Provider Name | ELIZABETH J SANTO DDS
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13550 FALLING WATER RD SUITE 103
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City | STRONGSVILLE
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State | OH
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Zip | 44136-4360
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Country | US
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Telephone | 440-238-1946
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Fax | 440-846-2496
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Provider Business Mailing Address
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Address Line | 4354 VALLEY FORGE DR
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City | FAIRVIEW PARK
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State | OH
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Zip | 44126-2825
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Country | US
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Telephone | 440-333-5594
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Fax | 440-846-2496
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20236
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License Number State | OH
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