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General NPI Number Information
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NPI Number | 1154308500
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Entity Type | Individual
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Provider Name | JOHN STUART SCOTT D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 3310 LIVE OAK ST STE 410
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City | DALLAS
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State | TX
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Zip | 75204-6145
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Country | US
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Telephone | 800-991-6117
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Fax | 812-812-8191
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Provider Business Mailing Address
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Address Line | 3820 NORTHDALE BLVD STE 201
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City | TAMPA
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State | FL
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Zip | 33624-1893
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Country | US
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Telephone | 800-991-6117
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Fax | 888-812-8191
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G9889
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G9889
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License Number State | TX
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