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General NPI Number Information
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NPI Number | 1891260774
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Entity Type | Individual
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Provider Name | SCOTT M VAN CAMP DPT
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Gender | Male
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 2422 N THOMPSON ST
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City | SPRINGDALE
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State | AR
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Zip | 72764-1757
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Country | US
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Telephone | 479-751-3043
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 N COLLEGE AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1908
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Country | US
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Telephone | 479-713-8630
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Fax | 479-713-8641
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT4526
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License Number State | AR
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