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General NPI Number Information
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NPI Number | 1265022602
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Entity Type | Organization
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Legal Business Name | SCOTT SUPPORT SERVICES
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 5100 PENN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19124-1906
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Country | US
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Telephone | 215-303-2484
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 PENN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19124-1906
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Country | US
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Telephone | 153-032-2484
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DENYSE WILLIAMS-DARRABIE
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Credential | REGISTERED NURSE
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Telephone | 215-303-2484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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