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Individual
SCOTT SEVINSKY
Active
Individual
SCOTT SEVINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016979
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11341208
CAQH
—
01
—
1648499
HIGHMARK BLUE SHIELD
—
01
—
2000907
KEYSTONE
—
01
—
247627
HEALTH ASSURANCE
—
01
—
50042602
CAPITAL BLUE CROSS
—
01
—
7539612
AETNA
—
01
—
818656
FIRST PRIORITY HEALTH
—
Enumeration date
09/29/2005
Last updated
07/08/2007
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