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General NPI Number Information
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NPI Number | 1770995672
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Entity Type | Individual
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Provider Name | SCOTT STILES
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Gender | Male
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 5300 N MEADOWS DR STE 7023
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City | GROVE CITY
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State | OH
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Zip | 43123-2546
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Country | US
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Telephone | 614-663-4832
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 OVERLOOK RD APT 12
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44106-2460
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Country | US
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Telephone | 614-578-7823
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.012415
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License Number State | OH
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