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General NPI Number Information
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NPI Number | 1538978416
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Entity Type | Individual
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Provider Name | TIFFANY R. SCOTT ST/68W
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Gender | Female
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 417 POLLOCK PL
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City | KENNER
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State | LA
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Zip | 70062-7148
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Country | US
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Telephone | 504-301-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 417 POLLOCK PL
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City | KENNER
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State | LA
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Zip | 70062-7148
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Country | US
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Telephone | 504-301-5155
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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