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General NPI Number Information
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NPI Number | 1477690360
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Entity Type | Individual
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Provider Name | SCOTT BICKMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4929 VAN NUYS BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1702
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Country | US
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Telephone | 818-550-0900
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Fax | 818-550-0909
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Provider Business Mailing Address
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Address Line | PO BOX 951
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City | GLENDALE
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State | CA
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Zip | 91209-0951
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Country | US
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Telephone | 818-550-0900
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Fax | 818-550-0909
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G02706
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License Number State | CA
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