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General NPI Number Information
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NPI Number | 1720442221
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Entity Type | Individual
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Provider Name | DOUGLAS SCOTT MS, OTR/L
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Gender | Male
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Dates
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Enumeration Date | 04/11/2016
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 200 S MANCHESTER AVE SUITE120
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City | ORANGE
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State | CA
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Zip | 92868-3217
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Country | US
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Telephone | 714-456-5568
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Fax |
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Provider Business Mailing Address
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Address Line | 3023 DAISY AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-1344
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Country | US
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Telephone | 714-328-4770
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 9714
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 9714
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License Number State | CA
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