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General NPI Number Information
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NPI Number | 1245863299
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Entity Type | Individual
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Provider Name | CHRISTOPHER SANTORO LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 15 BEACON AVE
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City | NORWOOD
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State | MA
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Zip | 02062-2018
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Country | US
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Telephone | 781-769-1342
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Fax | 781-769-6072
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Provider Business Mailing Address
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Address Line | 57 FAXON ST
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City | NEWTON
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State | MA
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Zip | 02458-1034
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Country | US
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Telephone | 651-271-0158
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 223821
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License Number State | MA
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