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General NPI Number Information
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NPI Number | 1245047802
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Entity Type | Individual
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Provider Name | ALVINA SCOTT
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 5821 BONNIE VIEW RD
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City | DALLAS
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State | TX
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Zip | 75241-4023
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Country | US
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Telephone | 469-880-1475
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 FALCON MILL RD APT 414
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City | ARLINGTON
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State | TX
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Zip | 76001-2841
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Country | US
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Telephone | 469-880-1475
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | N451441743
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License Number State | TX
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