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General NPI Number Information
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NPI Number | 1245392083
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Entity Type | Individual
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Provider Name | DANIEL JOE SCOTT RPH
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Gender | Male
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 820 MEMORIAL ST STE 2
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City | PROSSER
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State | WA
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Zip | 99350-2504
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Country | US
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Telephone | 509-786-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 10101 1739TH PR NW
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City | GRANDVIEW
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State | WA
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Zip | 98930-9052
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Country | US
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Telephone | 509-830-5191
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14328
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License Number State | WA
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