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General NPI Number Information
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NPI Number | 1588464614
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Entity Type | Organization
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Legal Business Name | SCS MD PC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 815 29TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-3517
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Country | US
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Telephone | 415-704-4899
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Fax | 415-907-9615
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Provider Business Mailing Address
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Address Line | 815 29TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-3517
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Country | US
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Telephone | 415-704-4899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT SO
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Credential | MD
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Telephone | 415-704-4899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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