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General NPI Number Information
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NPI Number | 1134130065
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Entity Type | Individual
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Provider Name | SCOT L CAIN P.T.A.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3100 W WARNER AVE
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City | SANTA ANA
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State | CA
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Zip | 92704-5331
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Country | US
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Telephone | 714-545-8946
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Fax | 714-668-5788
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Provider Business Mailing Address
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Address Line | 23062 STEARNS CIR
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City | LAKE FOREST
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State | CA
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Zip | 92630-4028
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Country | US
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Telephone | 949-380-1989
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Fax | 509-271-3319
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | AT 2425
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License Number State | CA
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