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General NPI Number Information
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NPI Number | 1952042830
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Entity Type | Individual
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Provider Name | JEREMY SCOTT WEST PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1265 36TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-6574
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Country | US
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Telephone | 772-567-6340
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 36TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-6574
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Country | US
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Telephone | 772-569-7706
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Fax | 772-569-7752
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9115272
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License Number State | FL
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