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General NPI Number Information
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NPI Number | 1609170240
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Entity Type | Individual
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Provider Name | JAMES NICHOLAS SCAMPOLI MS OTR/L
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Gender | Male
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 1392 ALBANY POST ROAD
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City | CROTON ON HUDSON
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State | NY
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Zip | 10522
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Country | US
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Telephone | 914-816-8969
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Fax | 914-373-3825
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Provider Business Mailing Address
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Address Line | 74 PYE LN
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-3626
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Country | US
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Telephone | 845-297-2595
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Fax | 914-373-3825
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 63-016144
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License Number State | NY
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