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NPI Code Detail

MEDICARE: BRIAN KEITH SCAPLEN

MEDICARE:   BRIAN KEITH SCAPLEN
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1922305101
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN KEITH SCAPLEN
Provider Business Mailing Address
First Line : 7768 CORONADO ISLAND ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6298
Country : US
Telephone Number : 714-904-9756
Fax Number :
Provider Business Practice Location Address
First Line : 7768 CORONADO ISLAND ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6298
Country : US
Telephone Number : 714-904-9756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2011
Last Update Date : 02/23/2011

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Directions to “ BRIAN KEITH SCAPLEN ” Practice Location

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