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General NPI Number Information
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NPI Number | 1497806350
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Entity Type | Organization
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Legal Business Name | TERRY C. SCOTESE
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 26300 EUCLID AVE SUITE 610
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City | EUCLID
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State | OH
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Zip | 44132-3708
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Country | US
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Telephone | 216-261-9121
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Fax | 216-261-5956
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Provider Business Mailing Address
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Address Line | 26300 EUCLID AVE SUITE 610
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City | EUCLID
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State | OH
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Zip | 44132-3708
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Country | US
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Telephone | 216-261-9121
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Fax | 216-261-5956
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CINDY M SLAPER
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Credential |
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Telephone | 216-261-9121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 30-01-6248
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License Number State | OH
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