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General NPI Number Information
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NPI Number | 1285182535
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Entity Type | Individual
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Provider Name | KATHERINE BRENDA SCOTT RN, BSN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 29583 OLD HIGHWAY 30
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City | CALDWELL
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State | ID
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Zip | 83607-8629
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Country | US
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Telephone | 775-813-3980
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Fax |
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Provider Business Mailing Address
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Address Line | 29583 OLD HIGHWAY 30
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City | CALDWELL
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State | ID
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Zip | 83607-8629
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Country | US
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Telephone | 775-813-3980
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN30291
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License Number State | NV
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