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General NPI Number Information
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NPI Number | 1356650741
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Entity Type | Organization
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Legal Business Name | BRIAN SANTINI MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/01/2010
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Last Update Date | 10/01/2010
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Provider Practice Location Address
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Address Line | 3901 LAS POSAS RD STE 205
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City | CAMARILLO
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State | CA
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Zip | 93010-1506
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Country | US
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Telephone | 805-258-6137
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Fax |
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Provider Business Mailing Address
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Address Line | 8160 QUARTZ ST
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City | VENTURA
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State | CA
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Zip | 93004-4038
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Country | US
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Telephone | 805-265-6099
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN SANTINI
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Credential |
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Telephone | 805-258-6137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A83094
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License Number State | CA
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