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General NPI Number Information
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NPI Number | 1770463994
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Entity Type | Individual
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Provider Name | CHRISTINE MARIKO SCOTT
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2107 S HIGHWAY 77
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City | LYNN HAVEN
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State | FL
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Zip | 32444-4631
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Country | US
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Telephone | 850-265-2696
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 NEW HAMPSHIRE AVE
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City | LYNN HAVEN
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State | FL
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Zip | 32444-2140
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS69449
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License Number State | FL
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