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General NPI Number Information
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NPI Number | 1295908721
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Entity Type | Organization
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Legal Business Name | JAMES SCALONE DO INCORPORATED
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 4501 MISSION BAY DR SUITE 2B
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City | SAN DIEGO
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State | CA
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Zip | 92109-4925
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Country | US
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Telephone | 858-272-1220
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Fax | 858-490-2702
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Provider Business Mailing Address
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Address Line | 4501 MISSION BAY DR SUITE 2B
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City | SAN DIEGO
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State | CA
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Zip | 92109-4925
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Country | US
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Telephone | 858-272-1220
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Fax | 858-490-2702
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Authorized Official
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Title or Position | CEO
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Name | JAMES SCALONE
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Credential | DO
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Telephone | 858-272-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20A5613
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License Number State | CA
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