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General NPI Number Information
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NPI Number | 1952784035
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Entity Type | Organization
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Legal Business Name | SCOTT HOWARD
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 1341 W ROBINHOOD DR SUITE B-2
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City | STOCKTON
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State | CA
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Zip | 95207-5515
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Country | US
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Telephone | 209-938-8209
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Fax |
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Provider Business Mailing Address
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Address Line | 1341 W ROBINHOOD DR SUITE B-2
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City | STOCKTON
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State | CA
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Zip | 95207-5515
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Country | US
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Telephone | 209-938-8209
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. SCOTT HOWARD
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Credential | ED.D.
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Telephone | 209-938-8209
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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 | PSB94021539
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License Number State | CA
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