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General NPI Number Information
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NPI Number | 1285092817
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Entity Type | Organization
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Legal Business Name | BONNIE K SANTO D.C.
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 1640 CYPRESS DR UNIT B
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City | JUPITER
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State | FL
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Zip | 33469-3175
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Country | US
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Telephone | 561-744-8766
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Fax | 561-744-2309
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Provider Business Mailing Address
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Address Line | 1640 CYPRESS DR UNIT B
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City | JUPITER
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State | FL
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Zip | 33469-3175
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Country | US
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Telephone | 561-744-8766
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Fax | 561-744-2309
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Authorized Official
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Title or Position | OWNER
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Name | DR. BONNIE KATHLEEN SANTO
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Credential | D.C.
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Telephone | 561-744-8766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | CH8358
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License Number State | FL
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