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NPI 1639185259

NPI 1639185259 : KATHLEEN M SCROGGINS MD : AKRON, OH

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General NPI Number Information
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    NPI Number           |    1639185259
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    Entity Type          |    Individual 
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    Provider Name        |    KATHLEEN M SCROGGINS MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    11/09/2025
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Provider Practice Location Address
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    Address Line         |    137 S MAIN ST STE 100 
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44308-1416
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    Country              |    US
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    Telephone            |    330-918-6000
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    Fax                  |    330-918-6851
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Provider Business Mailing Address
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    Address Line         |    137 S MAIN ST STE 100 
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44308-1416
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    Country              |    US
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    Telephone            |    330-918-6000
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    Fax                  |    330-918-6851
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    35.070855
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    40681
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    License Number State |    SC
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