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General NPI Number Information
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NPI Number | 1932435617
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Entity Type | Individual
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Provider Name | JULIE SCOTT MA, PAT, PPC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 2300 FOOTHILL BLVD
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5610
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Country | US
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Telephone | 307-352-6615
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 FOOTHILL BLVD
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5610
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Country | US
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Telephone | 307-352-6615
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 042
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 490
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License Number State | WY
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