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General NPI Number Information
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NPI Number | 1437314135
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Entity Type | Individual
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Provider Name | TRACY ELAINE SCOTT FNP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 40505 TOPAZ DR
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City | DEER TRAIL
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State | CO
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Zip | 80105-7929
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Country | US
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Telephone | 720-285-8159
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Fax | 720-399-0018
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Provider Business Mailing Address
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Address Line | PO BOX 279
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City | BYERS
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State | CO
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Zip | 80103-0279
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Country | US
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Telephone | 720-285-8159
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Fax | 303-376-9271
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SNP-100035
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3582
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0990396-NP
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License Number State | CO
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