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General NPI Number Information
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NPI Number | 1346319498
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Entity Type | Individual
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Provider Name | MICHELLE NICOLE SCOTT CPHT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 501 ADESSA PKWY STE A150
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City | LENOIR CITY
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State | TN
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Zip | 37771-6719
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Country | US
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Telephone | 865-986-4530
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Fax | 865-986-4909
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Provider Business Mailing Address
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Address Line | 2580 BROWDER HOLLOW RD LOT 26
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City | LENOIR CITY
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State | TN
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Zip | 37771-8166
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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 |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 2001-1108-2401-772
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License Number State | TN
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