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General NPI Number Information
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NPI Number | 1295548600
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Entity Type | Individual
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Provider Name | JONATHAN J SCOTT CP,LP
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Gender | Male
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 11115 MCCRACKEN CIR STE A
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City | CYPRESS
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State | TX
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Zip | 77429-4459
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Country | US
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Telephone | 361-800-1087
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Fax |
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Provider Business Mailing Address
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Address Line | 16618 ROSE VIEW CT
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City | CYPRESS
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State | TX
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Zip | 77429-3685
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Country | US
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Telephone | 361-800-1087
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | 1719
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License Number State | TX
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