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General NPI Number Information
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NPI Number | 1770650095
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Entity Type | Individual
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Provider Name | SCOTT IAN MCLAY BS, MBA, LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 201 E 8TH ST ERIE OTTERS HOCKEY CLUB
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City | ERIE
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State | PA
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Zip | 16503-1003
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Country | US
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Telephone | 814-455-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 367 LOVELL PL
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City | ERIE
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State | PA
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Zip | 16503-2641
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Country | US
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Telephone | 702-429-2744
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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