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General NPI Number Information
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NPI Number | 1669876850
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Entity Type | Organization
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Legal Business Name | JAMES R SCOTT DDS
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Dates
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Enumeration Date | 10/16/2014
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 601 MAIN ST
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City | OLATHE
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State | CO
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Zip | 81425
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Country | US
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Telephone | 970-323-6828
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Fax | 970-323-6186
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Provider Business Mailing Address
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Address Line | PO BOX 528
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City | OLATHE
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State | CO
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Zip | 81425-0528
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Country | US
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Telephone | 970-323-6828
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Fax | 970-323-6186
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | A PATRICE SCHELL
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Credential | MBA
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Telephone | 970-323-6828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 106268
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License Number State | CO
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