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General NPI Number Information
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NPI Number | 1477735801
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Entity Type | Organization
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Legal Business Name | LARRY SCORTT
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 5066 N FRESNO ST STE 101
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City | FRESNO
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State | CA
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Zip | 93710-7615
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Country | US
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Telephone | 559-206-5688
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Fax | 559-283-8440
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Provider Business Mailing Address
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Address Line | 5066 N FRESNO ST STE 101
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City | FRESNO
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State | CA
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Zip | 93710-7615
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Country | US
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Telephone | 559-206-5688
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Fax | 559-283-8440
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Authorized Official
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Title or Position | OWNER
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Name | LARRY D SCORTT
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Credential | DPM
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Telephone | 559-206-5688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E26290
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License Number State | CA
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