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General NPI Number Information
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NPI Number | 1053339291
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Entity Type | Individual
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Provider Name | JOHN SCOTT NEIL PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 1521 WASHINGTON BLVD
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-5426
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Country | US
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Telephone | 570-322-5051
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Fax | 570-322-6788
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Provider Business Mailing Address
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Address Line | 1521 WASHINGTON BLVD
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-5426
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Country | US
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Telephone | 570-322-5051
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Fax | 570-322-6788
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS008553L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS008553L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS008553L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PS008553L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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