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General NPI Number Information
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NPI Number | 1841520467
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Entity Type | Organization
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Legal Business Name | DR SANT AND ASSOCIATES OD PA
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Dates
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Enumeration Date | 01/04/2010
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 2660 E HIGHWAY 50
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City | CLERMONT
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State | FL
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Zip | 34711-6034
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Country | US
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Telephone | 352-394-3521
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Fax | 352-394-1762
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Provider Business Mailing Address
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Address Line | PO BOX 446
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City | GOTHA
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State | FL
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Zip | 34734-0446
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Country | US
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Telephone | 352-394-3521
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Fax | 352-394-1762
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Authorized Official
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Title or Position | OPTOMETRIST PRESIDENT
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Name | DR. JASON SANT
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Credential | OD
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Telephone | 407-924-1370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC2821
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License Number State | FL
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