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General NPI Number Information
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NPI Number | 1952466138
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Entity Type | Individual
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Provider Name | JAMES JOSEPH SANTORO MD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 255 W 5TH ST SW
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City | ROME
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State | GA
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Zip | 30165-2819
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Country | US
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Telephone | 706-234-1400
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Fax | 706-232-5018
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Provider Business Mailing Address
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Address Line | 1825 MARTHA BERRY BLVD NW
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City | ROME
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State | GA
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Zip | 30165-1625
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Country | US
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Telephone | 706-295-5331
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Fax |
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 026182
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License Number State | GA
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