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NPI 1144260779

NPI 1144260779 : JAMES V SCARCELLA MD : WESTLAKE, OH

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General NPI Number Information
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    NPI Number           |    1144260779
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES V SCARCELLA MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2006
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    Last Update Date     |    01/10/2009
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Provider Practice Location Address
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    Address Line         |    850 COLUMBIA RD SUITE 300
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    City                 |    WESTLAKE
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    State                |    OH
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    Zip                  |    44145-1493
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    Country              |    US
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    Telephone            |    440-808-8030
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    Fax                  |    440-808-8032
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Provider Business Mailing Address
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    Address Line         |    850 COLUMBIA RD SUITE 300
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    City                 |    WESTLAKE
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    State                |    OH
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    Zip                  |    44145-1493
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    Country              |    US
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    Telephone            |    440-808-8030
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    Fax                  |    440-808-8032
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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        |    208200000X
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    Taxonomy Name        |    Plastic Surgery Physician
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    License Number       |    35027107
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    License Number State |    OH
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