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General NPI Number Information
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NPI Number | 1417242538
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Entity Type | Individual
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Provider Name | VALERIE ANN SCOLA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 25095 JEFFERSON AVE #103
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City | MURRIETA
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State | CA
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Zip | 92562-9113
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Country | US
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Telephone | 951-692-4221
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Fax | 951-813-2040
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Provider Business Mailing Address
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Address Line | 25095 JEFFERSON AVE #103
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City | MURRIETA
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State | CA
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Zip | 92562-9113
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Country | US
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Telephone | 951-692-4221
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Fax | 951-813-2040
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12011633A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 61556
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License Number State | CA
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