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General NPI Number Information
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NPI Number | 1730313917
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Entity Type | Individual
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Provider Name | DENNIS SANTONI LBSW
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Gender | Male
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 16200 19 MILE RD
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City | CLINTON TWP
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State | MI
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Zip | 48038-1103
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Country | US
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Telephone | 586-778-8813
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Fax |
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Provider Business Mailing Address
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Address Line | 16200 - 19 MILE ROAD
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City | CLINTON TWP.
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State | MI
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Zip | 48038
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Country | US
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Telephone | 586-778-8813
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6802035619
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License Number State | MI
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