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General NPI Number Information
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NPI Number | 1073725206
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Entity Type | Individual
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Provider Name | VANESSA LYNN SCOTT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 51 W 3RD ST SUITE 501
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City | TEMPE
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State | AZ
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Zip | 85281-2831
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Country | US
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Telephone | 480-317-6780
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 E SPRINGFIELD PL #37
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City | CHANDLER
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State | AZ
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Zip | 85249-1409
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Country | US
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Telephone | 480-474-4525
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14997
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License Number State | AZ
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