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NPI Code Detail

MEDICARE: MR. DAVID PAUL VANSCOY LMT

MEDICARE: MR. DAVID PAUL VANSCOY LMT
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
1225700000XMassage Therapist33.004687 T-ZOH

General Provider Information

NPI Number : 1700210960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID PAUL VANSCOY LMT
Provider Business Mailing Address
First Line : 2879 E DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4063
Country : US
Telephone Number : 614-891-1954
Fax Number : 614-898-1945
Provider Business Practice Location Address
First Line : 2879 E DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4063
Country : US
Telephone Number : 614-891-1954
Fax Number : 614-898-1945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 08/23/2013

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Directions to “ MR. DAVID PAUL VANSCOY LMT” Practice Location

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