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General NPI Number Information
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NPI Number | 1730365917
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Entity Type | Organization
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Legal Business Name | LINDA E SCOTT PHD LLC
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 320 C CHARLES DIMMOCK PARKWAY
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834
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Country | US
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Telephone | 804-526-0220
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Fax | 804-526-0224
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Provider Business Mailing Address
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Address Line | PO BOX 639
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City | PRINCE GEORGE
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State | VA
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Zip | 23875-0639
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Country | US
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Telephone | 804-526-0220
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Fax | 804-526-0224
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Authorized Official
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Title or Position | OWNER
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Name | LINDA E SCOTT
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Credential | PHD
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Telephone | 804-526-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | VA
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