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General NPI Number Information
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NPI Number | 1700029550
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Entity Type | Individual
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Provider Name | JAMIE L SCOTT L.AC.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 2012 WALNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5655
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Country | US
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Telephone | 267-227-9147
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Fax |
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Provider Business Mailing Address
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Address Line | 4951 CATHARINE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-2007
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Country | US
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Telephone | 512-506-1608
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00147100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | OM126
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1079
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License Number State | TX
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