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General NPI Number Information
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NPI Number | 1083046197
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Entity Type | Individual
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Provider Name | PATRICIA ANN SCOTT LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 200 TARPON TRL
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5287
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Country | US
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Telephone | 910-938-1114
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Fax | 910-938-1118
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Provider Business Mailing Address
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Address Line | 1605 7TH ST NW APT 5
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City | WASHINGTON
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State | DC
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Zip | 20001-3224
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Country | US
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Telephone | 13-575-6586
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P009464
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License Number State | NC
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