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Scott Randall
NPI 1982298675 · on the registry since 2021 · sole proprietor
Practice
- Address
- 302 W Main St
Fairborn, OH 45324 - Phone
- (937) 281-4673
- Clinicians at this address
- 76
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
106S00000X - Licence states on file
- OH, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio