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General NPI Number Information
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NPI Number | 1871797803
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Entity Type | Individual
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Provider Name | MICHAEL SCALIA DDS, BA
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 41 ELM ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7201
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Country | US
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Telephone | 973-540-1311
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Fax | 973-540-0092
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Provider Business Mailing Address
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Address Line | 12 FRANKLIN LN APT G
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City | STATEN ISLAND
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State | NY
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Zip | 10306-1175
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Country | US
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Telephone | 319-594-1599
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DI02237300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 053508
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License Number State | NY
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