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Individual

SCOTT PAVUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT, NREMT

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B0467966
LA
2255A2300X
Athletic Trainer
J00010
LA

Other

Enumeration date
07/28/2006
Last updated
09/11/2025
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