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General NPI Number Information
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NPI Number | 1215708664
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Entity Type | Individual
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Provider Name | KATRINA GRACE SCOTT DPT
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Gender | Female
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1665 E MAIN ST
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City | DUNCAN
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State | SC
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Zip | 29334-9217
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Country | US
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Telephone | 864-210-9673
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Fax |
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Provider Business Mailing Address
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Address Line | 5503 SANRIA CT
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City | EXPORT
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State | PA
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Zip | 15632-9466
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Country | US
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Telephone | 724-787-6435
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | TPT023787
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13052
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License Number State | SC
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