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General NPI Number Information
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NPI Number | 1225366578
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Entity Type | Individual
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Provider Name | GLORIA JEAN SCOTCHMAN B.S., LICENSED SLPA
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Gender | Female
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 4201 ESTATE DIAMOND RUBY
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City | CHRISTIANSTED
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State | VI
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Zip | 00822
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Country | US
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Telephone | 340-692-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 33 Y RATTAN ROAD
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City | CHRISTIANSTED
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State | VI
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Zip | 00822
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Country | US
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Telephone | 225-975-0235
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 6214
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 106922
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License Number State | TX
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