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General NPI Number Information
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NPI Number | 1730011461
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Entity Type | Individual
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Provider Name | SCARLETT VICENTE
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Gender | Female
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Dates
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Enumeration Date | 05/29/2026
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Last Update Date | 05/29/2026
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Provider Practice Location Address
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Address Line | 1501 KINGS HWY
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City | SHREVEPORT
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State | LA
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Zip | 71103-4228
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Country | US
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Telephone | 318-626-2710
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Fax |
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Provider Business Mailing Address
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Address Line | 5982 NW 94TH AVE
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City | TAMARAC
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State | FL
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Zip | 33321-4198
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Country | US
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Telephone | 754-544-0607
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | LA
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