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General NPI Number Information
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NPI Number | 1912396177
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE SANTILLO NP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 56 N . MAIN ST.
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City | PITTSFORD
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State | NY
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Zip | 14534
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Country | US
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Telephone | 585-520-2530
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Fax | 585-301-4003
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Provider Business Mailing Address
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Address Line | 355 HAMMOCKS DR
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City | FAIRPORT
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State | NY
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Zip | 14450-7006
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Country | US
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Telephone | 585-520-2530
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Fax | 585-301-4003
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 309179
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 664269
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License Number State | NY
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