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General NPI Number Information
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NPI Number | 1760780670
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Entity Type | Individual
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Provider Name | KEVIN P SCIPIONE LMT
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Gender | Male
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 5156 BLAZER PKWY SUITE 100
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City | DUBLIN
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State | OH
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Zip | 43017-7317
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Country | US
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Telephone | 614-371-4706
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Fax |
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Provider Business Mailing Address
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Address Line | 6833 ABBOT PL
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City | WORTHINGTON
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State | OH
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Zip | 43085-2609
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Country | US
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Telephone | 614-371-4706
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33-018119
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License Number State | OH
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