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Individual
SCOTT M AGNEW
Active
Individual
SCOTT M AGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373153
ANTHEM BC/BS
—
05
—
0240135
—
OH
01
—
114322
UNITED HEALTHCARE
OH
01
—
264950
HEALTH ASSURANCE
OH
01
—
341341025031
CARESOURCE
—
01
—
P00250077
RAILROAD MEDICARE
—
01
—
Q015182
HOMETOWN
OH
01
—
Z51970
SUMMACARE
OH
Enumeration date
07/03/2006
Last updated
10/22/2007
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