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General NPI Number Information
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NPI Number | 1669575270
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Entity Type | Organization
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Legal Business Name | RONALD N BARSANTI DDS
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 991 10TH STREET
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City | ARCATA
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State | CA
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Zip | 95521
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Country | US
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Telephone | 707-822-0381
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Fax |
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Provider Business Mailing Address
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Address Line | 991 10TH STREET
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City | ARCATA
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State | CA
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Zip | 95521
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Country | US
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Telephone | 707-822-0381
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RONALD NEAL BARSANTI
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Credential | DDS
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Telephone | 707-822-0381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 20087
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License Number State | CA
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