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General NPI Number Information
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NPI Number | 1609219104
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Entity Type | Organization
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Legal Business Name | SCIULLI FOOT AND ANKLE CLINICS LLC
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 275 CLAIRTON BLVD # 300B
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City | PITTSBURGH
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State | PA
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Zip | 15236-1426
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Country | US
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Telephone | 412-228-5509
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Fax | 412-906-9929
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Provider Business Mailing Address
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Address Line | 204 FIELDGATE DR
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City | PITTSBURGH
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State | PA
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Zip | 15241-2107
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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 | OWNER
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Name | JESSICA SCIULLI
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Credential |
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Telephone | 412-228-5509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006439
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License Number State | PA
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