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General NPI Number Information
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NPI Number | 1104703735
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Entity Type | Individual
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Provider Name | SHEREE SCOTT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 4326 DONALD AVE
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City | SAN DIEGO
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State | CA
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Zip | 92117-3811
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Country | US
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Telephone | 520-247-3404
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Fax |
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Provider Business Mailing Address
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Address Line | 5998 ALCALA PARK
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City | SAN DIEGO
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State | CA
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Zip | 92110-2492
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Country | US
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Telephone | 619-260-7526
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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 | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 3808
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License Number State | CA
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