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General NPI Number Information
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NPI Number | 1588044416
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Entity Type | Individual
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Provider Name | SCOTT HOWARD ATC
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Gender | Male
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 23 ROMODA DR
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City | CANTON
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State | NY
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Zip | 13617-1501
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Country | US
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Telephone | 315-229-1843
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Fax |
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Provider Business Mailing Address
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Address Line | 23 ROMODA DR
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City | CANTON
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State | NY
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Zip | 13617-1501
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Country | US
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Telephone | 315-229-1843
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 002846-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1506
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00194400
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License Number State | NJ
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