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General NPI Number Information
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NPI Number | 1669869103
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES SCOTT CMHC ,TRS, CTRS
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Gender | Male
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 163 S 100 E
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City | SPANISH FORK
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State | UT
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Zip | 84660-2102
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Country | US
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Telephone | 143-582-0013
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Fax |
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Provider Business Mailing Address
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Address Line | 212 E CROSSROADS BLVD # 107
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City | SARATOGA SPRINGS
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State | UT
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Zip | 84045-2966
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Country | US
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Telephone | 435-820-0135
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6970846-6004
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License Number State | UT
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