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NPI 1487179578

NPI 1487179578 : HANNAH E SCOTT PT, DPT : GRAND FORKS, ND

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General NPI Number Information
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    NPI Number           |    1487179578
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH E SCOTT PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/09/2017
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    Last Update Date     |    06/04/2024
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Provider Practice Location Address
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    Address Line         |    2810 19TH AVE S 
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    City                 |    GRAND FORKS
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    State                |    ND
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    Zip                  |    58201-5957
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    Country              |    US
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    Telephone            |    701-222-3175
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    Fax                  |    701-222-3186
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Provider Business Mailing Address
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    Address Line         |    2625 N 19TH ST 
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    City                 |    BISMARCK
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    State                |    ND
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    Zip                  |    58503-0574
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    Country              |    US
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    Telephone            |    701-222-3175
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    Fax                  |    701-222-3186
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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        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    17159
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2612
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    License Number State |    ND
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