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NPI 1134116205

NPI 1134116205 : CHAD C SCOTT FNP MSN : LEXINGTON, TN

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General NPI Number Information
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    NPI Number           |    1134116205
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    Entity Type          |    Individual 
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    Provider Name        |    CHAD C SCOTT FNP MSN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/04/2005
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    Last Update Date     |    06/14/2024
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Provider Practice Location Address
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    Address Line         |    200 W CHURCH ST 
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    City                 |    LEXINGTON
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    State                |    TN
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    Zip                  |    38351-2038
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    Country              |    US
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    Telephone            |    731-968-3646
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    Fax                  |    731-968-1807
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Provider Business Mailing Address
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    Address Line         |    200 W CHURCH ST 
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    City                 |    LEXINGTON
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    State                |    TN
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    Zip                  |    38351-2038
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    Country              |    US
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    Telephone            |    731-968-3646
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    Fax                  |    731-968-1807
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    7743
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    RN118564
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    7743
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    License Number State |    TN
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Taxonomy #4
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    7743
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    License Number State |    TN
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Taxonomy #5
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    7743
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    License Number State |    TN
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Taxonomy #6
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    7743
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    License Number State |    TN
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Taxonomy #7
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    7743
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    License Number State |    TN
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Taxonomy #8
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    7743
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    License Number State |    TN
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Taxonomy #9
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    7743
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    License Number State |    TN
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