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NPI Code Detail

MEDICARE: MS. LINDA ROSE SCOTT

MEDICARE: MS. LINDA ROSE SCOTT
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
1101YA0400XAddiction (Substance Use Disorder) Counselor882482OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1882482OTHEROHLICDC-CS

General Provider Information

NPI Number : 1043765423
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA ROSE SCOTT
Provider Business Mailing Address
First Line : 4531 READING RD
Second Line : FATHERHOOD PROJECT
City : CINCINNATI
State : OH
Zip : 45229-1229
Country : US
Telephone Number : 513-961-3292
Fax Number : 513-961-3349
Provider Business Practice Location Address
First Line : 4531 READING RD
Second Line : FATHERHOOD PROJECT
City : CINCINNATI
State : OH
Zip : 45229-1229
Country : US
Telephone Number : 513-961-3292
Fax Number : 513-961-3349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2016
Last Update Date : 08/31/2016

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