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General NPI Number Information
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NPI Number | 1508248782
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Entity Type | Individual
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Provider Name | SCOTT DIAMOND MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1133 WESTCHESTER AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10604-3516
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Country | US
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Telephone | 617-413-2307
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Fax |
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Provider Business Mailing Address
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Address Line | 757 WESTWOOD PLZ
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City | LOS ANGELES
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State | CA
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Zip | 90095-8358
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Country | US
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Telephone |
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Fax |
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | A146753
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 66241
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 66241
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 305274
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License Number State | NY
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