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General NPI Number Information
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NPI Number | 1356977904
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Entity Type | Individual
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Provider Name | ALEXANDER SCOTT
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Gender | Male
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 1701 HARDEE AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-5110
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Country | US
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Telephone | 404-226-8544
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Fax |
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Provider Business Mailing Address
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Address Line | 3018 BAYROSE CIR
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City | EAST POINT
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State | GA
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Zip | 30344-1680
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Country | US
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Telephone | 803-556-0009
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW007506
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License Number State | GA
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