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General NPI Number Information
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NPI Number | 1497702294
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Entity Type | Organization
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Legal Business Name | OB-GYN ASSOCIATES OF ERIE, PC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 100 PEACH ST STE 300
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City | ERIE
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State | PA
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Zip | 16507-1423
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Country | US
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Telephone | 814-459-1851
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Fax | 814-452-0026
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Provider Business Mailing Address
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Address Line | 100 PEACH ST STE 300
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City | ERIE
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State | PA
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Zip | 16507-1423
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Country | US
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Telephone | 814-459-1851
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Fax | 814-452-0026
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL A SCUTELLA
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Credential | MD
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Telephone | 814-459-1851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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