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General NPI Number Information
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NPI Number | 1336176858
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Entity Type | Organization
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Legal Business Name | TIMOTHY J SCOTT DPM PC
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 22905 ROUTE 68
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City | CLARION
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State | PA
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Zip | 16214-8557
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Country | US
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Telephone | 814-226-0717
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Fax | 814-226-5336
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Provider Business Mailing Address
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Address Line | 22905 ROUTE 68
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City | CLARION
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State | PA
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Zip | 16214-8557
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Country | US
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Telephone | 814-226-0717
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Fax | 814-226-5336
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. TIMOTHY J SCOTT
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Credential | DPM
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Telephone | 814-226-0717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC004077L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC004077L
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License Number State | PA
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