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General NPI Number Information
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NPI Number | 1639096613
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Entity Type | Individual
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Provider Name | LATASHA AJE'SCOTT
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Gender | Female
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 6825 RICHLANDS WAY
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City | SACRAMENTO
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State | CA
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Zip | 95823-7519
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Country | US
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Telephone | 916-640-3352
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Fax |
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Provider Business Mailing Address
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Address Line | 6825 RICHLANDS WAY
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City | SACRAMENTO
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State | CA
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Zip | 95823-7519
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Country | US
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Telephone | 916-640-3352
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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Taxonomy #4
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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