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General NPI Number Information
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NPI Number | 1881871762
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Entity Type | Organization
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Legal Business Name | GAETANO J SCUDERI MD & ASSOCIATES
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 1935 COMMERCE LN SUITE #1
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City | JUPITER
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State | FL
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Zip | 33458-5858
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Country | US
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Telephone | 561-747-9334
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Fax | 561-747-9633
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Provider Business Mailing Address
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Address Line | 1935 COMMERCE LN SUITE #1
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City | JUPITER
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State | FL
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Zip | 33458-5858
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Country | US
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Telephone | 561-747-9334
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Fax | 561-747-9633
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Authorized Official
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Title or Position | OWNER
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Name | DR. GAETANO J SCUDERI
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Credential | M.D.
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Telephone | 561-747-9334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State | FL
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