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General NPI Number Information
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NPI Number | 1083956270
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Entity Type | Organization
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Legal Business Name | VINETTE SCOTT
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 1717 HIALEAH ST
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City | ORLANDO
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State | FL
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Zip | 32808-6023
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Country | US
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Telephone | 407-748-5572
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Fax | 407-412-6007
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Provider Business Mailing Address
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Address Line | 1717 HIALEAH ST
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City | ORLANDO
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State | FL
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Zip | 32808-6023
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Country | US
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Telephone | 407-748-5572
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Fax | 407-412-6007
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Authorized Official
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Title or Position | OWNER/ADMINSTRATOR
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Name | MISS VINNETTE CLAIRE SCOTT
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Credential | CNA
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Telephone | 407-748-5572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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