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General NPI Number Information
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NPI Number | 1861484230
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Entity Type | Individual
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Provider Name | SCOTT MCCLELLAND DO
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 114 FOREST HILL AVE SUITE 2
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-3728
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Country | US
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Telephone | 252-628-8300
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Fax | 252-642-6622
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Provider Business Mailing Address
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Address Line | PO BOX 30365
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City | GREENVILLE
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State | NC
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Zip | 27833-0365
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Country | US
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Telephone | 252-628-8300
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Fax | 252-642-6622
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 12841
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License Number State | NC
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