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General NPI Number Information
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NPI Number | 1538943733
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Entity Type | Individual
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Provider Name | VALENCIA NASHAWN SCOTT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 2021 LAKESIDE BLVD
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City | RICHARDSON
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State | TX
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Zip | 75082-4301
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Country | US
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Telephone | 214-257-8376
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 ELM ST APT 2509
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City | DALLAS
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State | TX
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Zip | 75202-2905
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Country | US
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Telephone | 334-868-1819
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 118244
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License Number State | TX
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