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NPI 1932196425

NPI 1932196425 : PATRICIA A SCOTT LCSW : SHERWOOD, AR

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General NPI Number Information
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    NPI Number           |    1932196425
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA A SCOTT LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/30/2005
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    Last Update Date     |    07/16/2014
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Provider Practice Location Address
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    Address Line         |    114 COUNTRY CLUB RD 
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    City                 |    SHERWOOD
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    State                |    AR
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    Zip                  |    72120-3226
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    Country              |    US
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    Telephone            |    501-834-2727
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    Fax                  |    501-834-2242
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Provider Business Mailing Address
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    Address Line         |    114 COUNTRY CLUB RD 
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    City                 |    SHERWOOD
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    State                |    AR
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    Zip                  |    72120-4625
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    Country              |    US
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    Telephone            |    501-834-2727
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    Fax                  |    501-834-2242
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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