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General NPI Number Information
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NPI Number | 1659574044
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Entity Type | Organization
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Legal Business Name | ROBERT G SCARCELLA MD INC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 101 FIFTH ST SE SUITE E
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City | BARBERTON
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State | OH
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Zip | 44203
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Country | US
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Telephone | 330-848-9209
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Fax | 330-848-9210
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Provider Business Mailing Address
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Address Line | 101 FIFTH ST SE SUITE E
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City | BARBERTON
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State | OH
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Zip | 44203
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Country | US
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Telephone | 330-848-9209
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Fax | 330-848-9210
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT GEORGE SCARCELLA
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Credential | MD
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Telephone | 330-848-9209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 38612
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License Number State | OH
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