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General NPI Number Information
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NPI Number | 1205187051
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Entity Type | Individual
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Provider Name | MELISSA L SCOTT APRN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 340 S WILLARD ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4126
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Country | US
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Telephone | 928-634-5551
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Fax | 928-634-5604
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Provider Business Mailing Address
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Address Line | 62 E 2700 S
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City | SOUTH SALT LAKE
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State | UT
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Zip | 84115-3132
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Country | US
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Telephone | 801-657-4160
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 29067
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 12243139-8900
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1840
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 299680
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License Number State | AZ
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