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General NPI Number Information
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NPI Number | 1952469637
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Entity Type | Organization
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Legal Business Name | BARBARA JEAN SCOTT
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 106 W FRONTVIEW ST STE 6
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City | DODGE CITY
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State | KS
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Zip | 67801-2200
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Country | US
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Telephone | 620-225-4600
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Fax | 620-225-4646
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Provider Business Mailing Address
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Address Line | 106 W FRONTVIEW ST STE 6
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City | DODGE CITY
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State | KS
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Zip | 67801-2200
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Country | US
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Telephone | 620-225-4600
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Fax | 620-225-4646
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. BARBARA J SCOTT
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Credential | CADC III
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Telephone | 620-225-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 513
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License Number State | KS
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