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General NPI Number Information
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NPI Number | 1326739632
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Entity Type | Individual
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Provider Name | ANDREW DAVID SANTEUSANIO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 5 E 98TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-6501
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Country | US
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Telephone | 866-674-3721
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 ARNOW PL
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City | BRONX
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State | NY
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Zip | 10461-4610
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Country | US
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Telephone | 717-798-1553
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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 | 208U00000X
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Taxonomy Name | Clinical Pharmacology Physician
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License Number | I059208
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License Number State | NY
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