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General NPI Number Information
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NPI Number | 1740117779
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Entity Type | Individual
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Provider Name | ALEXIS KIMBRO SCOTT MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 229 LOCUST GROVE WAY
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City | VERSAILLES
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State | KY
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Zip | 40383-8806
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Country | US
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Telephone | 859-576-3570
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Fax |
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Provider Business Mailing Address
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Address Line | 229 LOCUST GROVE WAY
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City | VERSAILLES
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State | KY
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Zip | 40383-8806
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Country | US
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Telephone | 859-576-3570
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 289777
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License Number State | KY
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