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General NPI Number Information
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NPI Number | 1700188836
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Entity Type | Organization
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Legal Business Name | SCOVILLE OSTEOPATHIC HEALTHCARE, P.C.
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 10325 LLOYD RD
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City | POTOMAC
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State | MD
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Zip | 20854-1950
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Country | US
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Telephone | 914-358-9559
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Fax | 914-358-9560
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Provider Business Mailing Address
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Address Line | 10325 LLOYD RD
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City | POTOMAC
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State | MD
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Zip | 20854-1950
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Country | US
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Telephone | 301-304-3330
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Fax | 301-304-3331
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHERINE JANE SCOVILLE
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Credential | DO
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Telephone | 301-304-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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