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General NPI Number Information
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NPI Number | 1437371028
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Entity Type | Individual
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Provider Name | JOHN RICHARD SARANTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 2900 CHANTICLEER AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1816
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Country | US
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Telephone | 408-497-0434
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Fax | 408-847-0988
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Provider Business Mailing Address
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Address Line | 2837 LAKEVIEW DR
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City | SANTA CRUZ
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State | CA
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Zip | 95062-5336
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Country | US
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Telephone | 408-497-0434
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Fax | 408-847-0988
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G50818
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License Number State | CA
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