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General NPI Number Information
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NPI Number | 1245456359
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Entity Type | Individual
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Provider Name | DR. SCOTT J WEBSTER
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 530 N 2ND E
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City | REXBURG
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State | ID
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Zip | 83440-3566
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Country | US
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Telephone | 208-359-2814
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Fax | 208-359-1937
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Provider Business Mailing Address
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Address Line | 530 N 2ND E
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City | REXBURG
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State | ID
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Zip | 83440
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Country | US
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Telephone | 208-624-3229
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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 | P5903
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P5994
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P5117
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License Number State | ID
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