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General NPI Number Information
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NPI Number | 1629388715
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Entity Type | Individual
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Provider Name | LINDA S. SANTANAM OTR
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Gender | Female
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 5590 BEAR RD
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-1900
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Country | US
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Telephone | 315-218-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 4929 TINDERBOX CIR
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City | MANLIUS
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State | NY
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Zip | 13104-2130
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Country | US
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Telephone | 315-480-2992
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 003016-1
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License Number State | NY
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