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General NPI Number Information
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NPI Number | 1982682043
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Entity Type | Individual
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Provider Name | LOUIS V SCALA ATC
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Gender | Male
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Dates
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Enumeration Date | 01/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30 COMMERCE PARK
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City | MILFORD
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State | CT
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Zip | 06460-3506
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Country | US
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Telephone | 203-878-0561
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Fax |
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Provider Business Mailing Address
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Address Line | 67 SAGE HILL RD
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City | MERIDEN
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State | CT
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Zip | 06450-7278
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | CT
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