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General NPI Number Information
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NPI Number | 1639222052
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Entity Type | Individual
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Provider Name | MARY M. SCOTT MSSW, GSW
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1601 PERDIDO ST
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City | NEW ORLEANS
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State | LA
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Zip | 70112-1262
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Country | US
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Telephone | 504-568-0811
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Fax |
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Provider Business Mailing Address
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Address Line | 121 PRIMROSE LN
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City | WESTWEGO
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State | LA
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Zip | 70094-5730
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Country | US
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Telephone | 504-568-0811
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8399
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License Number State | LA
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