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General NPI Number Information
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NPI Number | 1396722898
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Entity Type | Individual
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Provider Name | SCOTT M LABOHN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 38105 13TH AVE
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-3437
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Country | US
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Telephone | 813-715-4747
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Fax | 813-783-8937
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Provider Business Mailing Address
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Address Line | 2835 W DE LEON ST SUITE 101
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City | TAMPA
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State | FL
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Zip | 33609-4168
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Country | US
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Telephone | 813-254-6592
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Fax | 813-254-3634
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO0002591
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License Number State | FL
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