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General NPI Number Information
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NPI Number | 1942243266
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Entity Type | Individual
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Provider Name | DAVID SCOTT FINE D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 1501 S PINELLAS AVE STE T
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-1952
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Country | US
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Telephone | 727-934-6797
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Fax | 727-942-6503
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Provider Business Mailing Address
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Address Line | 1501 S PINELLAS AVE STE T
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-1952
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Country | US
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Telephone | 727-934-6797
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Fax | 727-942-6503
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO1579
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO1579
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License Number State | FL
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