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General NPI Number Information
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NPI Number | 1124037676
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Entity Type | Individual
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Provider Name | JEWEL SCOTT NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 4000 OSSI CT
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City | HIGH POINT
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State | NC
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Zip | 27265-8826
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Country | US
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Telephone | 336-698-3157
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Fax | 336-698-3489
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Provider Business Mailing Address
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Address Line | 210 HARMON CREEK RD # 1078
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City | KERNERSVILLE
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State | NC
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Zip | 27284-8966
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Country | US
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Telephone | 336-698-3157
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Fax | 336-698-3489
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 41353077
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5007390
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License Number State | NC
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