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General NPI Number Information
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NPI Number | 1598246712
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Entity Type | Individual
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Provider Name | AMY J SCOTTINO LMT, MTI
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Gender | Female
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Dates
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Enumeration Date | 08/25/2018
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 2121 W SPRING CREEK PKWY STE 111
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City | PLANO
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State | TX
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Zip | 75023-4527
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Country | US
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Telephone | 972-741-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 WEST 15TH STREET #310A
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 972-654-2341
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Fax | 972-401-5939
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT119695
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License Number State | TX
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