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General NPI Number Information
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NPI Number | 1740781962
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Entity Type | Organization
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Legal Business Name | SCOTT NAGY DDS LTD
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 5201 N ABBE RD
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City | SHEFFIELD VILLAGE
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State | OH
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Zip | 44035-1451
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Country | US
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Telephone | 440-937-8878
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 N ABBE RD
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City | SHEFFIELD VILLAGE
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State | OH
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Zip | 44035-1451
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Country | US
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Telephone | 440-937-8878
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHEONA L KIMMEL
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Credential |
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Telephone | 440-937-8878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 30-20075
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License Number State | OH
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