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General NPI Number Information
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NPI Number | 1245210350
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Entity Type | Individual
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Provider Name | ALBERT RICHARD SCAFURI JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 10/06/2014
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Provider Practice Location Address
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Address Line | 9776 BONITA BEACH RD SUITE 202B
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4773
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Country | US
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Telephone | 239-992-1500
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Fax | 239-992-3425
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Provider Business Mailing Address
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Address Line | 9776 BONITA BEACH RD SE #202B
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4773
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Country | US
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Telephone | 239-992-1500
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Fax | 239-992-3425
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME60660
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License Number State | FL
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