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General NPI Number Information
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NPI Number | 1396402814
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Entity Type | Individual
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Provider Name | SCOTT WINSTON LANG PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 555 HAMMILL LN
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City | RENO
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State | NV
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Zip | 89511-1004
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Country | US
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Telephone | 717-557-7810
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Fax |
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Provider Business Mailing Address
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Address Line | 6429 PEPPERGRASS DR
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City | SPARKS
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State | NV
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Zip | 89436-6152
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4188
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License Number State | NV
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