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General NPI Number Information
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NPI Number | 1346355740
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Entity Type | Individual
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Provider Name | THERESA MARIE SCOTT PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 913 RIDGEBROOK RD STE 304
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City | SPARKS
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State | MD
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Zip | 21152-9457
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Country | US
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Telephone | 410-525-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 13 DEVONSHIRE DR
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City | SHREWSBURY
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State | PA
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Zip | 17361-1131
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Country | US
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Telephone | 717-965-1952
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS015867
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04444
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License Number State | MD
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