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General NPI Number Information
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NPI Number | 1023476454
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Entity Type | Organization
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Legal Business Name | EDWARD HENRY SCARPITTI, MD PA
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Dates
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Enumeration Date | 01/30/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 17 SAINT JOHNS MEDICAL PARK DR
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-4331
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Country | US
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Telephone | 904-797-7272
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Fax | 904-797-9119
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Provider Business Mailing Address
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Address Line | 17 SAINT JOHNS MEDICAL PARK DR
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-4331
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Country | US
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Telephone | 904-797-7272
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Fax | 904-797-9119
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD HENRY SCARPITTI
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Credential | M.D., P.A.
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Telephone | 904-797-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME24898
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License Number State | FL
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