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General NPI Number Information
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NPI Number | 1376396580
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Entity Type | Individual
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Provider Name | AMELIA JUDITH SCARCELLA
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Gender | Female
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 3655 NOBEL DR STE 400
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City | SAN DIEGO
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State | CA
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Zip | 92122-1005
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Country | US
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Telephone | 347-692-0712
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Fax |
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Provider Business Mailing Address
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Address Line | 11062 LARKRIDGE ST
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City | SANTEE
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State | CA
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Zip | 92071-3226
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Country | US
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Telephone | 619-962-7338
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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