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General NPI Number Information
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NPI Number | 1649583790
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Entity Type | Individual
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Provider Name | KEVIN SCOTTI DDS, MSD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 901 N STUART ST SUITE 101
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City | ARLINGTON
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State | VA
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Zip | 22203-1821
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Country | US
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Telephone | 703-822-5583
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 SAINT FRANCIS ST. APT. 804
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City | RESTON
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State | VA
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Zip | 20190
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Country | US
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Telephone | 703-481-1526
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401412809
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License Number State | VA
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