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General NPI Number Information
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NPI Number | 1417194366
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Entity Type | Individual
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Provider Name | PHILIP ROCCO SCARANO D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 123 SARATOGA RD
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City | GLENVILLE
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State | NY
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Zip | 12302-4181
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Country | US
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Telephone | 315-868-7080
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Fax |
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Provider Business Mailing Address
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Address Line | 116 OVERLOOK RD
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City | LITTLE FALLS
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State | NY
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Zip | 13365-5704
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Country | US
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Telephone | 315-868-7080
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X011647
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License Number State | NY
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