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NPI Code Detail

MEDICARE: DAMEN SCOTT

MEDICARE: DAMEN 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
1225400000XRehabilitation Practitioner
2101YP2500XProfessional CounselorC15724NV

General Provider Information

NPI Number : 1366822702
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMEN SCOTT
Provider Business Mailing Address
First Line : 3035 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2200
Country : US
Telephone Number : 702-875-8800
Fax Number :
Provider Business Practice Location Address
First Line : 3035 S MARYLAND PKWY STE 9
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2200
Country : US
Telephone Number : 702-857-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2015
Last Update Date : 05/27/2026

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Directions to “ DAMEN SCOTT ” Practice Location

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