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Individual
MR. SCOTT NOSSEK
Active
Individual
MR. SCOTT NOSSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1674
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000227851
AZ STATE DES CMDP
AZ
05
—
056350
—
AZ
01
—
1Z6798
HEALTH NET
AZ
01
—
64-00187
UNITED HEALTH PLAN
AZ
01
—
650008704
MEDICARE RR
AZ
01
—
AZ0295990
BCBS AZ
AZ
01
—
DOL OWCP
189208700
AZ
05
—
F02383
—
AZ
Enumeration date
05/31/2005
Last updated
09/23/2010
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