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NPI 1326081241

NPI 1326081241 : WILLIAM SANTORO M.D. : WEST READING, PA

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General NPI Number Information
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    NPI Number           |    1326081241
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM SANTORO M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/14/2006
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    Last Update Date     |    05/17/2017
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Provider Practice Location Address
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    Address Line         |    420 S 5TH AVE K BUILIDING
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    City                 |    WEST READING
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    State                |    PA
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    Zip                  |    19611-2143
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    Country              |    US
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    Telephone            |    484-628-5858
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    Fax                  |    484-628-5829
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Provider Business Mailing Address
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    Address Line         |    PO BOX 13579 
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    City                 |    READING
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    State                |    PA
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    Zip                  |    19612-3579
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    Country              |    US
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    Telephone            |    
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD031904E
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207QA0401X
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    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
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    License Number       |    MD031904E
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    License Number State |    PA
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