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NPI 1942744727

NPI 1942744727 : PATRICIA A SCOTT, MDPA : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1942744727
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    Entity Type          |    Organization 
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    Legal Business Name  |    PATRICIA A SCOTT, MDPA 
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Dates
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    Enumeration Date     |    12/13/2016
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    Last Update Date     |    12/13/2016
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Provider Practice Location Address
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    Address Line         |    5512 W PLANO PKWY STE 100 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-4840
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    Country              |    US
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    Telephone            |    972-908-9988
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5512 W PLANO PKWY STE 100 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-4840
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    Country              |    US
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    Telephone            |    972-908-9988
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     PATRICIA A SCOTT 
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    Credential           |    M.D.
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    Telephone            |    713-502-5170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    H6604
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    H6604
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    License Number State |    TX
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