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General NPI Number Information
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NPI Number | 1841319076
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Entity Type | Individual
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Provider Name | HEATHER DIANE SCOTT PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 1950 S SYCAMORE ST
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City | PETERSBURG
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State | VA
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Zip | 23805-2729
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Country | US
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Telephone | 804-733-7711
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Fax | 804-733-8819
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Provider Business Mailing Address
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Address Line | 8200 HADDEN HALL CT
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City | CHESTERFIELD
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State | VA
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Zip | 23838-5120
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Country | US
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Telephone | 804-651-6132
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Fax | 804-733-8819
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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 | 0202206262
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License Number State | VA
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