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General NPI Number Information
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NPI Number | 1306336805
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Entity Type | Organization
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Legal Business Name | LORI E SCOTT
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 221 N LEWIS ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2840
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Country | US
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Telephone | 337-374-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 221 N LEWIS ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2840
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | MATTHIAUS GUIDRY
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Credential |
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Telephone | 337-356-1516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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