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General NPI Number Information
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NPI Number | 1366616625
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Entity Type | Organization
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Legal Business Name | LOUIS X SANTORE MD PC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE SUITE 36W
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-642-4392
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Fax | 610-642-1948
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Provider Business Mailing Address
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Address Line | 100 E LANCASTER AVE SUITE 36W
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-642-4392
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Fax | 610-642-1948
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. LOUIS X SANTORE
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Credential | M.D.
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Telephone | 610-642-4392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD02689E
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License Number State | PA
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