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General NPI Number Information
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NPI Number | 1629322474
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Entity Type | Individual
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Provider Name | JEAN WEEKLEY SCOTT PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 310 W UNION ST STE 102
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City | ATHENS
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State | OH
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Zip | 45701-2312
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Country | US
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Telephone | 740-331-6918
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Fax | 740-571-4280
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Provider Business Mailing Address
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Address Line | 11331 CHASE RD
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City | ATHENS
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State | OH
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Zip | 45701-9587
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Country | US
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Telephone | 740-707-5400
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6474
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License Number State | OH
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