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General NPI Number Information
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NPI Number | 1386109684
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Entity Type | Individual
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Provider Name | WILLIAM CHARLES SCOTT PT
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Gender | Male
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 318 BILBREY ST
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City | LIVINGSTON
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State | TN
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Zip | 38570-1706
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Country | US
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Telephone | 931-823-6404
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Fax |
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Provider Business Mailing Address
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Address Line | 723 BURKESVILLE RD
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City | ALBANY
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State | KY
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Zip | 42602
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Country | US
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Telephone | 606-387-3630
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008478
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License Number State | KY
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