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General NPI Number Information
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NPI Number | 1437062197
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Entity Type | Individual
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Provider Name | HEATHER A SCAGGS
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 400 PILGRIM BLVD
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City | HARTFORD CITY
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State | IN
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Zip | 47348-1382
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Country | US
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Telephone | 765-348-5776
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Fax | 765-348-8335
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Provider Business Mailing Address
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Address Line | 114 ST ANDREWS CT
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City | HARTFORD CITY
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State | IN
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Zip | 47348-8733
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Country | US
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Telephone | 765-499-7599
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28163795A
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License Number State | IN
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