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General NPI Number Information
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NPI Number | 1144937889
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Entity Type | Individual
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Provider Name | RONALD PAGE SCOTT I CSFA
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Gender | Male
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 4978 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34471-8449
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Country | US
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Telephone | 352-433-5687
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Fax |
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Provider Business Mailing Address
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Address Line | 4978 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34471-8449
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Country | US
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Telephone | 352-433-5687
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 112165
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License Number State | CO
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