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General NPI Number Information
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NPI Number | 1598935132
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Entity Type | Individual
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Provider Name | EBONY MCKENZIE SCOTT-BEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 3001 HOSPITAL DR
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City | CHEVERLY
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State | MD
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Zip | 20785-1189
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Country | US
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Telephone | 443-629-3133
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 HOSPITAL DR
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City | CHEVERLY
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State | MD
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Zip | 20785-1189
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Country | US
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Telephone | 443-629-3133
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C03712
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | C0003712
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License Number State | MD
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