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General NPI Number Information
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NPI Number | 1386692002
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Entity Type | Individual
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Provider Name | DORIA A SCORTICHINI M.D., F.A.C.C.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 1150 STATE ROUTE 5 AND 20
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City | GENEVA
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State | NY
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Zip | 14456-9543
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Country | US
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Telephone | 315-789-5758
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Fax | 315-789-0741
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Provider Business Mailing Address
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Address Line | 1150 STATE ROUTE 5 AND 20
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City | GENEVA
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State | NY
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Zip | 14456-9543
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Country | US
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Telephone | 315-789-5758
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Fax | 315-789-0741
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 154650
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License Number State | NY
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