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General NPI Number Information
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NPI Number | 1063017507
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Entity Type | Organization
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Legal Business Name | ALICIA WEBB SCOTT, PH.D., PLLC
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 26 W 9TH ST APT 4A
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City | NEW YORK
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State | NY
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Zip | 10011-8919
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Country | US
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Telephone | 917-282-4482
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Fax |
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Provider Business Mailing Address
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Address Line | 106 LINCOLN PL
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City | BROOKLYN
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State | NY
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Zip | 11217-3606
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Country | US
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Telephone | 917-282-4482
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ALICIA WEBB WEBB SCOTT
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Credential | PHD
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Telephone | 917-282-4482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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