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General NPI Number Information
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NPI Number | 1083813117
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Entity Type | Organization
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Legal Business Name | PATRICIA A SCOTT DDS PA
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 3443 TAMIAMI TRL STE A
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8159
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Country | US
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Telephone | 941-625-8500
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Fax | 941-625-0874
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Provider Business Mailing Address
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Address Line | 3443 TAMIAMI TRL STE A
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8159
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Country | US
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Telephone | 941-625-8500
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Fax | 941-625-0874
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | DR. PATRICIA A SCOTT
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Credential | DDS PA
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Telephone | 941-625-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN3008
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License Number State | FL
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