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NPI 1154979300

NPI 1154979300 : DAVID SCOTT DPT : LAKE WORTH, FL

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General NPI Number Information
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    NPI Number           |    1154979300
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID SCOTT DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/30/2019
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    Last Update Date     |    01/12/2026
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Provider Practice Location Address
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    Address Line         |    7115 LAKE WORTH RD 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33467-2906
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    Country              |    US
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    Telephone            |    561-318-7432
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13369 TOUCHSTONE PL APT 102B 
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    City                 |    PALM BEACH GARDENS
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    State                |    FL
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    Zip                  |    33418-6938
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    Country              |    US
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    Telephone            |    860-617-1994
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    .9889
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    35221
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT61667683
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    License Number State |    WA
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