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General NPI Number Information
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NPI Number | 1164295812
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Entity Type | Individual
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Provider Name | SCOTT RICHARD DRIVER LPC, LMT
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Gender | Male
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 26428 W US HIGHWAY 85
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City | BUCKEYE
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State | AZ
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Zip | 85326-5002
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Country | US
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Telephone | 623-882-9906
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 N 3RD ST
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City | PHOENIX
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State | AZ
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Zip | 85012-2331
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 133767
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | LMT-25730
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-22969
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License Number State | AZ
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