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General NPI Number Information
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NPI Number | 1861580953
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Entity Type | Organization
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Legal Business Name | JOHN P. SANTORO, D.P.M.
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 29645 RANCHO CALIFORNIA RD SUITE 209
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City | TEMECULA
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State | CA
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Zip | 92591-6200
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Country | US
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Telephone | 951-699-9775
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Fax | 951-695-2050
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Provider Business Mailing Address
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Address Line | 29645 RANCHO CALIFORNIA RD SUITE 209
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City | TEMECULA
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State | CA
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Zip | 92591-6200
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Country | US
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Telephone | 951-699-9775
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Fax | 951-695-2050
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOANNE C PENNER-BABCOCK
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Credential |
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Telephone | 951-699-9775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | OOE3428
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License Number State | CA
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