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General NPI Number Information
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NPI Number | 1386939973
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Entity Type | Organization
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Legal Business Name | TRASCO WELLNESS LLC
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 600 8TH ST SOUTH
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City | ST PETERSBURG
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State | FL
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Zip | 33701
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Country | US
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Telephone | 813-381-3852
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Fax | 813-381-3873
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Provider Business Mailing Address
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Address Line | 600 8TH ST SOUTH
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City | ST PETERSBURG
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State | FL
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Zip | 33701
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Country | US
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Telephone | 813-381-3852
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Fax | 813-381-3873
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT O ELLIOTT
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Credential | DC
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Telephone | 813-381-3852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME56938
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME117651
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3274
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA23287
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL3352
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9544
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License Number State | FL
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