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General NPI Number Information
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NPI Number | 1255405809
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Entity Type | Individual
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Provider Name | STEPHEN M SCIONTI MD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 6600 UNIVERSITY PKWY STE 203
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34240-9041
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Country | US
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Telephone | 941-702-5595
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Fax | 888-492-0296
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Provider Business Mailing Address
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Address Line | 6600 UNIVERSITY PKWY STE 203
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34240-9041
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Country | US
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Telephone | 941-702-5595
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Fax | 888-492-0296
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 249866
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 15312
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME119376
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License Number State | FL
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