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General NPI Number Information
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NPI Number | 1235744855
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Entity Type | Individual
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Provider Name | LORRIE MARIE SANTOY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 550 POPE AVE
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City | FORT LEAVENWORTH
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State | KS
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Zip | 66027-2332
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Country | US
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Telephone | 913-684-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 109 RIDGEWOOD CV
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City | GEORGETOWN
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State | TX
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Zip | 78633-4336
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Country | US
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Telephone | 512-789-5758
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1336767
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License Number State | TX
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