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General NPI Number Information
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NPI Number | 1841262946
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Entity Type | Individual
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Provider Name | MATTHEW H SCIARONI DPM
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 1191 E HERNDON AVE SUITE 101
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City | FRESNO
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State | CA
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Zip | 93720-3164
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Country | US
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Telephone | 559-431-3838
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Fax | 559-435-1105
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Provider Business Mailing Address
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Address Line | 1821 E OAK HAVEN
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City | FRESNO
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State | CA
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Zip | 93728
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Country | US
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Telephone | 559-434-1830
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Fax | 559-433-6947
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E3408
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License Number State | CA
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