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General NPI Number Information
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NPI Number | 1780089235
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Entity Type | Individual
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Provider Name | TIANA JEANETTE SCOGGINS
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Gender | Female
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 4535 COUNTRYCROSSING DR
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City | SPRING
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State | TX
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Zip | 77388-3637
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Country | US
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Telephone | 832-287-4932
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Fax | 832-202-2874
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Provider Business Mailing Address
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Address Line | 4535 COUNTRYCROSSING DR
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City | SPRING
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State | TX
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Zip | 77388-3637
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Country | US
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Telephone | 832-287-4932
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Fax | 832-202-2874
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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