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General NPI Number Information
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NPI Number | 1811543747
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Entity Type | Organization
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Legal Business Name | DR. SCOGGINS, INC.
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 2023 N PREUSS AVE
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City | CLOVIS
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State | CA
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Zip | 93619-7464
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Country | US
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Telephone | 559-246-8679
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Fax |
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Provider Business Mailing Address
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Address Line | 2023 N PREUSS AVE
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City | CLOVIS
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State | CA
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Zip | 93619-7464
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Country | US
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Telephone | 559-246-8679
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHELLE D SCOGGINS
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Credential | PSY.D.
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Telephone | 559-246-8679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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