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General NPI Number Information
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NPI Number | 1558292045
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Entity Type | Individual
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Provider Name | MR. STEPHEN SCOTT
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Gender | Male
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 17491 E JACKRABBIT RD
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City | MAYER
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State | AZ
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Zip | 86333-4329
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Country | US
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Telephone | 928-899-0678
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Fax |
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Provider Business Mailing Address
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Address Line | 17491 E JACKRABBIT RD
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City | MAYER
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State | AZ
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Zip | 86333-4329
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Country | US
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Telephone |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLPA17187
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License Number State | AZ
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