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General NPI Number Information
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NPI Number | 1952773160
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Entity Type | Individual
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Provider Name | MICHAEL SANTINA DC
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Gender | Male
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 601 WOODLAWN DR NE STE 100
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City | MARIETTA
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State | GA
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Zip | 30067-3504
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Country | US
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Telephone | 404-433-6574
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Fax |
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Provider Business Mailing Address
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Address Line | 2073 POWERS FERRY RD SE APT I
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City | MARIETTA
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State | GA
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Zip | 30067-5264
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Country | US
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Telephone | 205-792-1099
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR009577
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License Number State | GA
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