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General NPI Number Information
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NPI Number | 1710329420
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Entity Type | Organization
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Legal Business Name | RENE E SCOTT DDS PC
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 1246 S HIGHWAY 377 500
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City | PILOT POINT
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State | TX
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Zip | 76258-4353
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Country | US
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Telephone | 940-765-9390
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Fax | 940-220-4763
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Provider Business Mailing Address
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Address Line | PO BOX 413
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City | PILOT POINT
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State | TX
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Zip | 76258-0413
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Country | US
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Telephone | 940-765-9390
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Fax | 940-220-4763
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. RENE ELIZABETH SCOTT
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Credential | DDS
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Telephone | 940-206-7481
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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 | 13134
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License Number State | TX
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