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General NPI Number Information
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NPI Number | 1962420927
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Entity Type | Organization
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Legal Business Name | BERKELEY FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 2061 HIGHWAY 52
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City | MONCKS CORNER
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State | SC
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Zip | 29461-5017
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Country | US
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Telephone | 843-761-8800
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Fax | 843-761-8824
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Provider Business Mailing Address
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Address Line | 2061 HIGHWAY 52
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City | MONCKS CORNER
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State | SC
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Zip | 29461-5017
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Country | US
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Telephone | 843-761-8800
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Fax | 843-761-8824
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Authorized Official
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Title or Position | M.D. - PARTNER
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Name | MR. JEFFREY R SANTI
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Credential | M.D.
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Telephone | 843-761-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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