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General NPI Number Information
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NPI Number | 1548753155
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Entity Type | Individual
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Provider Name | SCOTT HARGAN
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Gender | Male
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 11904 MAGELLAN WAY
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City | SELLERSBURG
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State | IN
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Zip | 47172-8317
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Country | US
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Telephone | 502-424-2475
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Fax |
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Provider Business Mailing Address
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Address Line | 499 PIPING ROCK RD
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City | BRANDENBURG
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State | KY
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Zip | 40108-7111
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Country | US
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Telephone | 270-998-6728
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 33008761A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 255717
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License Number State | KY
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