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General NPI Number Information
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NPI Number | 1639623879
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Entity Type | Individual
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Provider Name | BRIAN DANIEL SCOTT PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 7504 W CENTRAL AVE
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City | TOLEDO
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State | OH
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Zip | 43617-1524
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Country | US
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Telephone | 419-841-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 1634 STANBERY CT
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City | TOLEDO
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State | OH
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Zip | 43612-2032
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Country | US
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Telephone | 419-205-3571
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03135652
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License Number State | OH
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