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General NPI Number Information
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NPI Number | 1497120562
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Entity Type | Individual
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Provider Name | SHAWN SCOTT
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Gender | Female
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 6 MATHIS DR NW
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City | ROME
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State | GA
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Zip | 30165-1242
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Country | US
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Telephone | 706-233-9023
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Fax | 706-235-1585
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Provider Business Mailing Address
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Address Line | 32 KRISTEN CT
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City | ADAIRSVILLE
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State | GA
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Zip | 30103-6349
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Country | US
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Telephone | 770-547-5990
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Fax | 706-235-1585
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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