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General NPI Number Information
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NPI Number | 1245252154
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Entity Type | Individual
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Provider Name | AARON RICHARD SANTISO MPT, PES, CLT
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3000 BAYVIEW DR
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1772
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Country | US
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Telephone | 954-533-5543
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Fax | 754-223-2596
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Provider Business Mailing Address
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Address Line | 3200 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1062
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Country | US
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Telephone | 954-533-5543
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Fax | 754-223-2596
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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 | PT 21532
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License Number State | FL
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