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General NPI Number Information
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NPI Number | 1669257572
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Entity Type | Individual
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Provider Name | ELIZABETH LING SCAMMELL AMADEI
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Gender | Female
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 1107 S SCHUMAKER DR
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City | SALISBURY
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State | MD
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Zip | 21804-9237
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Country | US
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Telephone | 410-749-2848
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Fax |
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Provider Business Mailing Address
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Address Line | 19 CORNERSTONE DR
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City | FALMOUTH
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State | ME
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Zip | 04105-2611
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Country | US
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Telephone | 207-776-8775
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A5871
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License Number State | MD
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