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General NPI Number Information
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NPI Number | 1205075777
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Entity Type | Individual
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Provider Name | SCOTT ALLEN WEEKS PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 1348 S 18TH ST STE 200
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4785
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Country | US
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Telephone | 42-619-7869
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Fax | 904-277-4143
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Provider Business Mailing Address
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Address Line | PO BOX 43667
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City | JACKSONVILLE
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State | FL
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Zip | 32203-3667
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Country | US
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Telephone | 904-720-0599
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Fax | 904-376-4036
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-06274
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5482
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3426
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9110231
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License Number State | FL
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