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General NPI Number Information
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NPI Number | 1174960306
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Entity Type | Individual
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Provider Name | JEFFREY F SCOTT MD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 3700 JOSEPH SIEWICK DR STE 402
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City | FAIRFAX
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State | VA
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Zip | 22033-1745
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Country | US
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Telephone | 703-620-8900
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Fax | 703-620-2288
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Provider Business Mailing Address
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Address Line | 3700 JOSEPH SIEWICK DR STE 402
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City | FAIRFAX
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State | VA
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Zip | 22033-1745
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Country | US
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Telephone | 703-620-8900
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Fax | 703-620-2288
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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 | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | D87221
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 0101277530
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License Number State | VA
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