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General NPI Number Information
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NPI Number | 1013220037
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Entity Type | Individual
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Provider Name | SCOT R MACOMBER LPC
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Gender | Male
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 2925 GULF FWY SOUTH SUITE B PMB 186
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City | LEAGUE CITY
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State | TX
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Zip | 77573
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Country | US
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Telephone | 346-871-9161
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Fax |
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Provider Business Mailing Address
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Address Line | 614 DUNLAVY LN
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City | LEAGUE CITY
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State | TX
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Zip | 77573-1522
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Country | US
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Telephone | 832-656-1442
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62942
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License Number State | TX
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