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NPI 1194700625

NPI 1194700625 : TODD J SCARBROUGH MD : SURPRISE, AZ

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General NPI Number Information
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    NPI Number           |    1194700625
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    Entity Type          |    Individual 
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    Provider Name        |    TODD J SCARBROUGH MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/07/2005
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    Last Update Date     |    01/21/2026
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Provider Practice Location Address
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    Address Line         |    12329 W BOLA DR STE 100 
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85378-9001
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    Country              |    US
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    Telephone            |    623-270-7441
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    Fax                  |    623-270-7442
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Provider Business Mailing Address
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    Address Line         |    323 JUSTICE VALLEY ST # A 
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    City                 |    FARRAGUT
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    State                |    TN
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    Zip                  |    37934-4814
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    Country              |    US
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    Telephone            |    865-999-5988
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    Fax                  |    256-235-5104
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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        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    ME87407
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    43369
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    License Number State |    KY
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