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NPI 1780810960

NPI 1780810960 : BETSI L. SANTONE CERTIFIED NUTRITION : GARDEN CITY, SC

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General NPI Number Information
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    NPI Number           |    1780810960
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    Entity Type          |    Individual 
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    Provider Name        |    BETSI L. SANTONE CERTIFIED NUTRITION
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2009
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    Last Update Date     |    06/02/2009
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Provider Practice Location Address
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    Address Line         |    694 JAMESTOWN DR. 
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    City                 |    GARDEN CITY
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    State                |    SC
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    Zip                  |    29576
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    Country              |    US
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    Telephone            |    843-438-4470
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    Fax                  |    843-492-7741
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Provider Business Mailing Address
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    Address Line         |    694 JAMESTOWN DR. 
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    City                 |    GARDEN CITY
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    State                |    SC
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    Zip                  |    29576
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    Country              |    US
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    Telephone            |    843-438-4470
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    Fax                  |    843-492-7741
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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        |    133NN1002X
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    Taxonomy Name        |    Nutrition Education Nutritionist
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    License Number       |    63465
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    License Number State |    NJ
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