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General NPI Number Information
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NPI Number | 1740751783
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Entity Type | Organization
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Legal Business Name | SCARLET'S UNMENTIONABLES
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 2771 OAKDALE BLVD STE 8
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City | CORALVILLE
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State | IA
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Zip | 52241-9747
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Country | US
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Telephone | 319-333-7226
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Fax | 319-626-3250
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Provider Business Mailing Address
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Address Line | 2771 OAKDALE BLVD STE 8
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City | CORALVILLE
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State | IA
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Zip | 52241-9747
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Country | US
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Telephone | 319-333-7226
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Fax | 319-626-3250
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Authorized Official
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Title or Position | OWNER/CERTIFIED FITTER
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Name | CHERYL J SCHLOTE
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Credential | CMF
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Telephone | 319-333-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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