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General NPI Number Information
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NPI Number | 1376523282
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Entity Type | Individual
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Provider Name | MEGAN M SANTANGELO M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 7917 MACKINAW TRL
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City | CADILLAC
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State | MI
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Zip | 49601-9746
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Country | US
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Telephone | 231-779-9700
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Fax | 231-779-9765
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Provider Business Mailing Address
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Address Line | 7917 MACKINAW TRL
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City | CADILLAC
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State | MI
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Zip | 49601-9746
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Country | US
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Telephone | 231-779-9700
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Fax | 231-779-9765
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35077322
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301099534
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License Number State | MI
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