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General NPI Number Information
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NPI Number | 1619515889
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Entity Type | Individual
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Provider Name | KATELYN ROSE SCAVUZZO
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Gender | Female
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 238 LEHIGH AVE APT 2
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City | SHADYSIDE
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State | PA
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Zip | 15232-2089
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Country | US
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Telephone | 216-548-4375
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Fax |
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Provider Business Mailing Address
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Address Line | 115 POINDEXTER DR UNIT 6203
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City | CHARLOTTE
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State | NC
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Zip | 28203-6430
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Country | US
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Telephone | 216-548-4375
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 131350
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License Number State | NC
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