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General NPI Number Information
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NPI Number | 1659532059
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Entity Type | Organization
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Legal Business Name | ANDREW J SCOMA MD PA
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 04/07/2010
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Provider Practice Location Address
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Address Line | 1925 MIZELL AVE SUITE 201
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City | WINTER PARK
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State | FL
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Zip | 32792-4106
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Country | US
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Telephone | 407-628-0448
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Fax | 407-628-9867
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Provider Business Mailing Address
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Address Line | 1925 MIZELL AVE SUITE 201
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City | WINTER PARK
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State | FL
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Zip | 32792-4106
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Country | US
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Telephone | 407-628-0448
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Fax | 407-628-9867
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ANDREW J SCOMA JR.
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Credential | M.D.
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Telephone | 407-628-0448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME22529
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License Number State | FL
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