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General NPI Number Information
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NPI Number | 1508096413
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Entity Type | Individual
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Provider Name | MICHELINO SCARLATA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 18100 HOUSTON METHODIST DR STE 300
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City | HOUSTON
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State | TX
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Zip | 77058-4603
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Country | US
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Telephone | 832-783-1190
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Fax | 281-333-0180
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Provider Business Mailing Address
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Address Line | 18100 HOUSTON METHODIST DR STE 300
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City | HOUSTON
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State | TX
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Zip | 77058-4603
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Country | US
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Telephone | 832-783-1190
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Fax | 281-333-0180
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | U6801
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 71283
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD2019-0775
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 71283
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License Number State | GA
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