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General NPI Number Information
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NPI Number | 1033102231
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Entity Type | Individual
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Provider Name | SCOTT JUSTIN PIATT RPA
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 238 N MAIN ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1046
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Country | US
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Telephone | 585-593-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CHRIST VIEW DR
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City | CUBA
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State | NY
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Zip | 14727-1202
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Country | US
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Telephone | 585-968-5647
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 005651
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License Number State | NY
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