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General NPI Number Information
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NPI Number | 1265995559
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Entity Type | Individual
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Provider Name | SCOTT POWELL
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Gender | Male
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 391 TAYLOR BLVD
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2294
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Country | US
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Telephone | 925-608-6585
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Fax | 925-608-6592
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Provider Business Mailing Address
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Address Line | 391 TAYLOR BLVD
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2294
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Country | US
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Telephone | 925-608-6585
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Fax | 925-608-6592
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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 #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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