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General NPI Number Information
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NPI Number | 1427932946
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Entity Type | Individual
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Provider Name | TYLER SCOTT
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Gender | Male
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 4281 BROOKVILLE STREET
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City | HAWTHORN
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State | PA
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Zip | 16230-0113
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Country | US
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Telephone | 814-221-6617
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 113
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City | HAWTHORN
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State | PA
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Zip | 16230-0113
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Country | US
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Telephone | 814-221-6617
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OP009752
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License Number State | PA
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