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General NPI Number Information
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NPI Number | 1437191848
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Entity Type | Organization
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Legal Business Name | ROSS D SCOTT RPT INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 209 6TH ST
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City | MARYSVILLE
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State | CA
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Zip | 95901-5570
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Country | US
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Telephone | 530-742-6385
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Fax | 530-742-5025
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Provider Business Mailing Address
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Address Line | 209 6TH ST
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City | MARYSVILLE
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State | CA
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Zip | 95901-5570
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Country | US
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Telephone | 530-742-6385
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Fax | 530-742-5025
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Authorized Official
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Title or Position | OWNER
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Name | ROSS D SCOTT
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Credential | RPT
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Telephone | 530-742-6385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT2998
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License Number State | CA
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