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NPI Code Detail

MEDICARE: MR. DAVID ALEXANDER SCOTT

MEDICARE:  MR. DAVID ALEXANDER 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
1101Y00000XCounselor

General Provider Information

NPI Number : 1073115309
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID ALEXANDER SCOTT
Provider Business Mailing Address
First Line : 360 MONTE VISTA AVE APT 205
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4556
Country : US
Telephone Number : 916-917-0813
Fax Number :
Provider Business Practice Location Address
First Line : 360 MONTE VISTA AVE APT 205
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4556
Country : US
Telephone Number : 916-917-0813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2020
Last Update Date : 11/11/2020

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Directions to “ MR. DAVID ALEXANDER SCOTT ” Practice Location

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