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Individual

SCOTT C DULEBOHN

Active
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Individual

SCOTT C DULEBOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101247383
VA
207T00000X
Neurological Surgery Physician
40265
MN
207T00000X
Neurological Surgery Physician
M-2375
GU
207T00000X
Neurological Surgery Physician
Primary
MD34821
TN
207T00000X
Neurological Surgery Physician
MTL-2023-001
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528009198
NC
05
1528009198
VA
05
3338931
TN
01
4127300
BCBS OF TENNESSEE
TN
05
Q003378
TN
01
TN01A5
JOHN DEERE
TN
Enumeration date
06/08/2006
Last updated
04/21/2023
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