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General NPI Number Information
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NPI Number | 1932499159
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Entity Type | Individual
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Provider Name | NATALIE VERCILLO SCIARRINO M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE 260
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City | CUMMING
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State | GA
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Zip | 30040
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Country | US
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Telephone | 770-292-3045
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Fax | 770-292-3046
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Provider Business Mailing Address
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Address Line | 4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE 260
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City | CUMMING
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State | GA
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Zip | 30040
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Country | US
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Telephone | 770-292-3045
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Fax | 770-292-3046
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 39286
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 98417
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License Number State | GA
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