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General NPI Number Information
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NPI Number | 1679601488
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Entity Type | Individual
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Provider Name | SCOTT ROBIN PRINCE BS
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1222 MEDICAL CENTER DR
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City | COLUMBIA
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State | TN
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Zip | 38401-6402
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Country | US
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Telephone | 931-490-1586
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Fax |
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Provider Business Mailing Address
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Address Line | 211 SEWANEE CIR
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City | COLUMBIA
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State | TN
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Zip | 38401-2522
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Country | US
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Telephone | 931-381-6683
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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