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General NPI Number Information
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NPI Number | 1902844681
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Entity Type | Individual
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Provider Name | JOSHUA DAVID SCOLL D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 1950 STREET RD SUITE 101
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City | BENSALEM
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State | PA
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Zip | 19020-3755
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Country | US
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Telephone | 215-245-0873
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Fax | 215-245-4011
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Provider Business Mailing Address
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Address Line | 911 BARNSWALLOW LN
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-2001
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Country | US
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Telephone | 215-938-6221
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Fax | 215-245-4011
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC004133-L
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License Number State | PA
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