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General NPI Number Information
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NPI Number | 1578703948
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Entity Type | Organization
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Legal Business Name | GEOFFREY SCOTT, M.D., P.A.
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 4351 BOOTH CALLOWAY RD SUITE 400
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-7378
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Country | US
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Telephone | 817-282-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 500 RAVEN CT
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City | COLLEYVILLE
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State | TX
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Zip | 76034-8692
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Country | US
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Telephone | 817-282-5500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM GEOFFREY SCOTT
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Credential | M.D.
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Telephone | 817-282-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | N2290
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License Number State | TX
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