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General NPI Number Information
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NPI Number | 1407959505
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Entity Type | Individual
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Provider Name | PETER SCARPELLI PA
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 2862 ROUTE 8
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City | SPECULATOR
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State | NY
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Zip | 12164-0000
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Country | US
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Telephone | 518-548-8155
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Fax | 518-548-4819
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Provider Business Mailing Address
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Address Line | PO BOX 1250
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-0010
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Country | US
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Telephone | 518-773-5758
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Fax | 518-773-5456
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 003453-1
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License Number State | NY
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