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General NPI Number Information
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NPI Number | 1235495078
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Entity Type | Individual
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Provider Name | DEANGELA M SCOTT
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Gender | Female
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 1981 STADIUM OAKS CT
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City | ARLINGTON
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State | TX
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Zip | 76011-7825
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Country | US
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Telephone | 817-265-2344
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Fax |
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Provider Business Mailing Address
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Address Line | 1981 STADIUM OAKS CT
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City | ARLINGTON
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State | TX
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Zip | 76011-7825
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Country | US
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Telephone | 817-265-2344
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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