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General NPI Number Information
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NPI Number | 1285741553
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Entity Type | Individual
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Provider Name | STEVEN G SANTINO MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 4027 S BUSINESS DR STE L02
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City | SHEBOYGAN
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State | WI
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Zip | 53081-1261
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Country | US
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Telephone | 262-365-9572
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Fax | 920-459-0622
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Provider Business Mailing Address
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Address Line | 4027 S BUSINESS DR STE L02
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City | SHEBOYGAN
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State | WI
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Zip | 53081-1261
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Country | US
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Telephone | 262-365-9572
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Fax | 920-459-0622
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 44315
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 115444
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License Number State | MO
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