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General NPI Number Information
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NPI Number | 1982724415
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Entity Type | Individual
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Provider Name | NIKOLE M. SCALERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 75 ARCH ST SUITE 506
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City | AKRON
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State | OH
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Zip | 44304-1429
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Country | US
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Telephone | 330-375-3894
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Fax |
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Provider Business Mailing Address
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Address Line | 75 ARCH ST SUITE 506
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City | AKRON
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State | OH
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Zip | 44304-1429
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Country | US
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Telephone | 330-375-3894
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 57-010384
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35.095176
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License Number State | OH
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