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General NPI Number Information
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NPI Number | 1710369145
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Entity Type | Individual
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Provider Name | ANTONIO SCIULLI P.T.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 890 W LOVELAND AVE APT A11
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City | LOVELAND
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State | OH
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Zip | 45140-2231
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Country | US
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Telephone | 310-985-6243
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Fax |
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Provider Business Mailing Address
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Address Line | 890 W LOVELAND AVE APT A11
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City | LOVELAND
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State | OH
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Zip | 45140-2231
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Country | US
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Telephone | 310-985-6243
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 28378
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 009608L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 23859
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License Number State | CA
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