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General NPI Number Information
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NPI Number | 1962724310
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Entity Type | Individual
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Provider Name | MARK STEVEN SCOVOTTI R.PH
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Gender | Male
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 100 S BEDFORD RD STE 390
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3436
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Country | US
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Telephone | 800-361-1260
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Fax |
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Provider Business Mailing Address
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Address Line | 1282 ROUTE 292
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City | HOLMES
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State | NY
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Zip | 12531-5541
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Country | US
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Telephone | 914-447-0471
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 034533-1
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License Number State | NY
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