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General NPI Number Information
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NPI Number | 1558384586
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Entity Type | Individual
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Provider Name | ANTONIO SANTI LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 3901 NW 79TH AVE SUITE 119
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City | DORAL
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State | FL
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Zip | 33166-6554
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Country | US
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Telephone | 305-599-0442
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Fax | 305-477-3599
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Provider Business Mailing Address
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Address Line | 15531 SW 147TH AVE
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City | MIAMI
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State | FL
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Zip | 33187-5505
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Country | US
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Telephone | 786-863-4356
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Fax | 305-477-3599
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH4070
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH4070
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License Number State | FL
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