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General NPI Number Information
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NPI Number | 1174790075
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Entity Type | Organization
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Legal Business Name | SCOT N. BAY, MD, PC
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Dates
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Enumeration Date | 05/11/2008
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Last Update Date | 05/11/2008
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Provider Practice Location Address
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Address Line | 555 SUN VALLEY DR B1
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City | ROSWELL
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State | GA
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Zip | 30076-5612
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Country | US
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Telephone | 770-422-2295
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Fax |
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Provider Business Mailing Address
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Address Line | 555 SUN VALLEY DR B1
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City | ROSWELL
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State | GA
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Zip | 30076-5612
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Country | US
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Telephone | 770-422-2295
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOT N. BAY
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Credential | MD
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Telephone | 770-422-2295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 40002
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License Number State | GA
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