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General NPI Number Information
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NPI Number | 1043544505
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Entity Type | Organization
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Legal Business Name | JAMES T SCOTT MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 07/10/2010
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Provider Practice Location Address
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Address Line | 12011 SAN VICENTE BLVD 408
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City | LOS ANGELES
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State | CA
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Zip | 90049-4926
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Country | US
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Telephone | 310-883-8153
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Fax | 310-454-7351
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Provider Business Mailing Address
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Address Line | 12011 SAN VICENTE BLVD 408
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City | LOS ANGELES
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State | CA
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Zip | 90049-4926
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Country | US
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Telephone | 310-883-8153
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Fax | 310-454-7351
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES THOMAS SCOTT
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Credential | M.D.
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Telephone | 310-883-8153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G21732
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License Number State | CA
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