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General NPI Number Information
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NPI Number | 1669287348
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Entity Type | Individual
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Provider Name | NICOLE SCOTT M.S., SLP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 590 FM 156 UNIT 200
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City | HASLET
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State | TX
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Zip | 76052-3601
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Country | US
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Telephone | 817-479-7019
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Fax |
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Provider Business Mailing Address
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Address Line | 799 CONESTOGA TRL
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City | RHOME
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State | TX
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Zip | 76078-4201
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Country | US
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Telephone | 940-389-1278
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 122304
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License Number State | TX
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