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General NPI Number Information
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NPI Number | 1912415365
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Entity Type | Individual
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Provider Name | SCHANTA SCOTT
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Gender | Female
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Dates
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Enumeration Date | 01/19/2018
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 9550 US HIGHWAY 19 STE 202
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City | PORT RICHEY
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State | FL
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Zip | 34668-4648
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Country | US
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Telephone | 813-475-8151
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Fax |
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Provider Business Mailing Address
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Address Line | 10036 PERTHSHIRE CIR
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City | LAND O LAKES
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State | FL
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Zip | 34638-6002
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Country | US
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Telephone | 813-475-8151
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Fax | 800-420-5836
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | FL
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