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NPI Code Detail

MEDICARE: MADISON DAYNE SCOTT

MEDICARE: MADISON DAYNE 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
1106S00000XBehavior TechnicianKY

General Provider Information

NPI Number : 1376493734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON DAYNE SCOTT
Provider Business Mailing Address
First Line : 6201 BENTON RD
Second Line :
City : PADUCAH
State : KY
Zip : 42003-1304
Country : US
Telephone Number : 270-908-0461
Fax Number :
Provider Business Practice Location Address
First Line : 6201 BENTON RD
Second Line :
City : PADUCAH
State : KY
Zip : 42003-1304
Country : US
Telephone Number : 270-908-0461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ MADISON DAYNE SCOTT ” Practice Location

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