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NPI Code Detail

MEDICARE: DAKOTA SCOTT

MEDICARE: DAKOTA 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 Technician

General Provider Information

NPI Number : 1619649035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAKOTA SCOTT
Provider Business Mailing Address
First Line : 1300 NOTTOWAY DR
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73130-6136
Country : US
Telephone Number : 985-718-6336
Fax Number :
Provider Business Practice Location Address
First Line : 14828 SERENITA AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2028
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2021
Last Update Date : 10/04/2021

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Directions to “ DAKOTA SCOTT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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