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General NPI Number Information
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NPI Number | 1013300326
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Entity Type | Individual
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Provider Name | TAMARA SCOTT LPN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 1201 LUDLOW RD
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-1158
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Country | US
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Telephone | 937-593-9010
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Fax | 937-593-9030
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Provider Business Mailing Address
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Address Line | 1201 LUDLOW RD
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-1158
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Country | US
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Telephone | 937-593-9010
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Fax | 937-593-9030
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN 110473 MEDS
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License Number State | OH
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