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General NPI Number Information
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NPI Number | 1770378606
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Entity Type | Individual
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Provider Name | KATHRYN SCOTT FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 3399 E GRAND RIVER AVE STE 204
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City | HOWELL
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State | MI
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Zip | 48843-7555
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Country | US
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Telephone | 810-407-6039
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Fax | 810-407-8834
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Provider Business Mailing Address
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Address Line | 30488 MILFORD RD
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City | NEW HUDSON
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State | MI
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Zip | 48165-8583
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Country | US
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Telephone | 248-412-3977
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704336524
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License Number State | MI
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