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General NPI Number Information
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NPI Number | 1922547413
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Entity Type | Individual
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Provider Name | PATRICK J SANTEL LMP
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Gender | Male
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 7104 265TH ST NW SUITE 115
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City | STANWOOD
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State | WA
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Zip | 98292-6169
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Country | US
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Telephone | 360-322-8549
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Fax | 360-572-4480
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Provider Business Mailing Address
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Address Line | 982 SW CAMANO DR
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City | CAMANO ISLAND
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State | WA
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Zip | 98282-8436
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Country | US
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Telephone | 314-210-0267
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Fax | 360-572-4480
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA60702311
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License Number State | WA
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