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NPI Code Detail

MEDICARE: SCOTT DENNIS SLAYBACK COUNSELOR IN TRAININ

MEDICARE: SCOTT DENNIS SLAYBACK COUNSELOR IN TRAININ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1013743970
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT DENNIS SLAYBACK COUNSELOR IN TRAININ
Provider Business Mailing Address
First Line : 323 W DRAKE RD STE 216
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-8120
Country : US
Telephone Number : 970-670-0509
Fax Number :
Provider Business Practice Location Address
First Line : 323 W DRAKE RD STE 216
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-8120
Country : US
Telephone Number : 970-670-0509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2024
Last Update Date : 09/09/2024

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Directions to “ SCOTT DENNIS SLAYBACK COUNSELOR IN TRAININ” Practice Location

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