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General NPI Number Information
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NPI Number | 1750714309
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Entity Type | Organization
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Legal Business Name | FRANK SCAFURI III, DO, P.C. LLC
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 199 MAIN ST
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City | KEANSBURG
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State | NJ
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Zip | 07734-1734
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Country | US
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Telephone | 718-370-3730
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Fax | 718-698-9412
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Provider Business Mailing Address
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Address Line | 199 MAIN ST
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City | KEANSBURG
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State | NJ
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Zip | 07734-1734
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Country | US
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Telephone | 718-370-3730
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Fax | 718-698-9412
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK SCAFURI III
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Credential | D.O.
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Telephone | 718-370-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25MB09048000
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License Number State | NY
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