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General NPI Number Information
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NPI Number | 1467580571
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Entity Type | Individual
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Provider Name | BETH S SCSAVNICKI ATC,CMT,LPTA
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 20095 GILBERT RD
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City | BIG RAPIDS
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State | MI
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Zip | 49307-2339
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Country | US
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Telephone | 231-592-1360
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Fax |
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Provider Business Mailing Address
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Address Line | 720 NOVAK LN
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City | BIG RAPIDS
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State | MI
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Zip | 49307-2534
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Country | US
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Telephone | 231-527-1213
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State | IL
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