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General NPI Number Information
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NPI Number | 1649943226
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Entity Type | Individual
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Provider Name | BRETT N SCOLES DPT
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Gender | Male
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 610 W MAIN STREET SUITE A
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City | CAMERON
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State | WI
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Zip | 54822
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Country | US
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Telephone | 715-204-4787
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Fax | 855-918-3585
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Provider Business Mailing Address
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Address Line | PO BOX 47
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City | CAMERON
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State | WI
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Zip | 54822-0047
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Country | US
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Telephone | 715-204-4787
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Fax | 855-918-3585
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 15562
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License Number State | WI
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