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General NPI Number Information
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NPI Number | 1912270570
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Entity Type | Individual
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Provider Name | ANDREW JAMES SCOTT RPH
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Gender | Male
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 1204 NW 6TH ST
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City | GRANTS PASS
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State | OR
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Zip | 97526-1254
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Country | US
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Telephone | 541-476-8224
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Fax | 541-476-4132
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Provider Business Mailing Address
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Address Line | 744 NW 3RD ST
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City | GRANTS PASS
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State | OR
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Zip | 97526-1515
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Country | US
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Telephone | 541-912-3733
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Fax | 541-476-4132
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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 | RPH0011205
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License Number State | OR
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