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General NPI Number Information
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NPI Number | 1386197192
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Entity Type | Individual
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Provider Name | FERNANDO COSTA SANTINI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 500 WESTCHESTER AVE
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City | WEST HARRISON
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State | NY
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Zip | 10604-3200
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Country | US
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Telephone | 914-367-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 YORK AVE APT 17C
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City | NEW YORK
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State | NY
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Zip | 10021-0000
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Country | US
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Telephone | 646-462-1692
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | P02157
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 307649
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License Number State | NY
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