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Individual
SCOTT THOMAS VICENZI
Active
Individual
SCOTT THOMAS VICENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35289
MS
207Q00000X
Family Medicine Physician
Primary
6363
TN
207Q00000X
Family Medicine Physician
BP10071614
TX
207Q00000X
Family Medicine Physician
BP20076182
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
05734
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
35289
MS
207QS0010X
Sports Medicine (Family Medicine) Physician
6363
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2019
Last updated
08/18/2026
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