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General NPI Number Information
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NPI Number | 1295812964
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Entity Type | Organization
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Legal Business Name | SCOTT M MORCOTT, MD SC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 250 CENTER DR SUITE 201
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City | VERNON HILLS
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State | IL
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Zip | 60061-1582
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Country | US
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Telephone | 847-816-8686
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Fax | 847-816-8898
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Provider Business Mailing Address
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Address Line | 250 CENTER DR SUITE 201
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City | VERNON HILLS
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State | IL
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Zip | 60061-1582
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Country | US
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Telephone | 847-816-8686
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Fax | 847-816-8898
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. SCOTT M MORCOTT
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Credential | MD
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Telephone | 847-816-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036099609
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License Number State | IL
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