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General NPI Number Information
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NPI Number | 1750720926
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Entity Type | Individual
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Provider Name | CAROL SCALZO MSN FNP
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Gender | Female
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 03/01/2014
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Provider Practice Location Address
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Address Line | 792 N MAIN ST
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City | N SYRACUSE
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State | NY
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Zip | 13212-1644
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Country | US
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Telephone | 315-440-9807
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Fax |
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Provider Business Mailing Address
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Address Line | 3328 HICKORY KNOLL LN
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-6254
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Country | US
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Telephone | 315-559-4426
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F338008
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License Number State | NY
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