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General NPI Number Information
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NPI Number | 1447935473
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Entity Type | Individual
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Provider Name | RONALD ARTHUR SCOTT PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 590 PALM CANYON DR
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City | BORREGO SPRINGS
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State | CA
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Zip | 92004-4000
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Country | US
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Telephone | 760-767-3047
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1758
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City | BORREGO SPRINGS
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State | CA
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Zip | 92004-1758
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Country | US
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Telephone | 714-262-9713
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 36055
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License Number State | CA
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