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General NPI Number Information
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NPI Number | 1033506779
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL SCOCCO B.S., M.S., B.C.E.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 7670 OKEECHOBEE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2100
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Country | US
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Telephone | 561-242-1542
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Fax | 561-684-0519
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Provider Business Mailing Address
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Address Line | 7670 OKEECHOBEE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2100
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Country | US
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Telephone | 561-242-1542
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Fax | 561-684-0519
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | JB 614
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License Number State | FL
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