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General NPI Number Information
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NPI Number | 1184003196
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Entity Type | Individual
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Provider Name | CAGNEY SCOTT DDS
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Gender | Male
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 8321 OLD TROY PIKE
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-1027
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Country | US
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Telephone | 414-963-3152
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Fax |
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Provider Business Mailing Address
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Address Line | 500 5TH AVE N APT 112
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City | NASHVILLE
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State | TN
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Zip | 37219-1222
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Country | US
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Telephone | 414-364-2596
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401417766
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.24875
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License Number State | OH
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