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General NPI Number Information
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NPI Number | 1033230354
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Entity Type | Individual
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Provider Name | HEATHER LYNN SCOTT PULASKI MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 501 SAUNDERS AVE STE 310
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City | TYLER
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State | TX
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Zip | 75702-7524
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Country | US
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Telephone | 903-579-9800
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Fax | 903-592-5988
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-0813
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.095617
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 35.095617
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 4301089535
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | R9840
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License Number State | TX
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