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NPI 1760508386

NPI 1760508386 : DOUGLAS C SCOTT M.D. : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1760508386
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    Entity Type          |    Individual 
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    Provider Name        |    DOUGLAS C SCOTT M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/22/2007
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    Last Update Date     |    04/23/2012
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Provider Practice Location Address
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    Address Line         |    3865 CHERRY CREEK DRIVE NORTH, SUITE 100 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80209
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    Country              |    US
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    Telephone            |    303-394-2421
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26 POLO FIELD LN 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80209-3331
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    Country              |    US
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    Telephone            |    303-394-2421
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    Fax                  |    303-394-2479
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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        |    2083X0100X
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    Taxonomy Name        |    Occupational Medicine Physician
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    License Number       |    24773
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    License Number State |    CO
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