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NPI Code Detail

MEDICARE: SCOTT DUDLEY

MEDICARE:   SCOTT  DUDLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1144038613
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT DUDLEY
Provider Business Mailing Address
First Line : 18436 WINSLOW RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-4813
Country : US
Telephone Number : 973-723-7829
Fax Number :
Provider Business Practice Location Address
First Line : 18436 WINSLOW RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-4813
Country : US
Telephone Number : 973-723-7829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2024
Last Update Date : 12/30/2024

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Directions to “ SCOTT DUDLEY ” Practice Location

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