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General NPI Number Information
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NPI Number | 1780876920
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Entity Type | Individual
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Provider Name | MATTHEW ALDEN SCOTT PA
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Gender | Male
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Dates
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Enumeration Date | 08/12/2007
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 234 EAST 149TH STREET LINCOLN MEDICAL CENTER
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City | BRONX
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State | NY
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Zip | 10451
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Country | US
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Telephone | 718-579-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 234 EAST 149TH STREET
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City | BRONX
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State | NY
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Zip | 10451
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Country | US
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Telephone | 718-579-5900
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 011947-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00198200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00198200
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License Number State | NJ
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