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General NPI Number Information
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NPI Number | 1275994063
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Entity Type | Organization
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Legal Business Name | SALVADOR A SCACCIA
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 1806 TURNBERRY LN
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City | HARVEY
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State | LA
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Zip | 70058-7406
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Country | US
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Telephone | 504-340-2446
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 TURNBERRY LN
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City | HARVEY
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State | LA
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Zip | 70058-7406
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Country | US
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Telephone | 504-340-2446
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALVADOR ANTHONY SCACCIA
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Credential | PHARM.D.
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Telephone | 504-355-4191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 17080
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License Number State | LA
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