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General NPI Number Information
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NPI Number | 1346165594
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Entity Type | Individual
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Provider Name | GRACE ORIANDA SCOTT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 4444 W 76TH ST
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City | EDINA
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State | MN
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Zip | 55435-5173
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Country | US
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Telephone | 612-746-7347
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Fax |
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Provider Business Mailing Address
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Address Line | 5446 VINCENT AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55410-2431
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Country | US
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Telephone | 612-685-3952
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 150697-2
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License Number State | MN
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