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General NPI Number Information
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NPI Number | 1487048492
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Entity Type | Organization
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Legal Business Name | SCOTT G. CUTLER
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 4321 N MACDILL AVE SUITE 303
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City | TAMPA
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State | FL
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Zip | 33607-6388
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Country | US
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Telephone | 813-874-9922
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Fax | 813-876-8881
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Provider Business Mailing Address
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Address Line | 4321 N. MACDILL AVE SUITE 303
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City | TAMPA
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State | FL
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Zip | 33607-6390
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Country | US
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Telephone | 813-874-9922
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Fax | 813-876-8881
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Authorized Official
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Title or Position | MD
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Name | DR. SCOTT G. CUTLER, MD
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Credential | MD
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Telephone | 813-874-9922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME47544
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License Number State | FL
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