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General NPI Number Information
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NPI Number | 1407677917
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Entity Type | Individual
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Provider Name | DONALD SCOTT M.S.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 2533 N 700 W
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City | ARLINGTON
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State | IN
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Zip | 46104-9410
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Country | US
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Telephone | 765-663-2416
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Fax |
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Provider Business Mailing Address
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Address Line | 976 N JENNIFER DR
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City | GREENFIELD
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State | IN
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Zip | 46140-9546
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Country | US
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Telephone | 317-675-7750
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1072064
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License Number State | IN
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