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NPI 1770390551

NPI 1770390551 : LYNSEY ALLISON SCOTT MS, RD, LD : HOME, PA

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General NPI Number Information
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    NPI Number           |    1770390551
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    Entity Type          |    Individual 
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    Provider Name        |    LYNSEY ALLISON SCOTT MS, RD, LD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/16/2024
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    Last Update Date     |    12/16/2024
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Provider Practice Location Address
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    Address Line         |    2212 MCMILLEN RD 
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    City                 |    HOME
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    State                |    PA
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    Zip                  |    15747-7304
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    Country              |    US
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    Telephone            |    713-851-0933
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2212 MCMILLEN RD 
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    City                 |    HOME
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    State                |    PA
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    Zip                  |    15747-7304
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    Country              |    US
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    Telephone            |    713-851-0933
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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       |    1038047
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    133N00000X
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    Taxonomy Name        |    Nutritionist
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    License Number       |    DT81622
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    License Number State |    TX
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