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General NPI Number Information
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NPI Number | 1205591294
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Entity Type | Individual
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Provider Name | CHRISTOPHER DAVID SCOTT APRN, AGACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 908 N ROCKFORD RD STE A
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City | ARDMORE
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State | OK
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Zip | 73401-2541
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Country | US
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Telephone | 580-223-0447
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Fax |
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Provider Business Mailing Address
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Address Line | 812 MOCKINGBIRD ST
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City | BONHAM
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State | TX
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Zip | 75418-2236
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Country | US
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Telephone | 972-275-9630
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1112079
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 913790
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1112079
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 913790
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License Number State | TX
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