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General NPI Number Information
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NPI Number | 1972485845
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Entity Type | Individual
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Provider Name | COURTNEY JANE SCOTT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 63 N GREENFIELD RD STE 108
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City | MESA
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State | AZ
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Zip | 85205-7863
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Country | US
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Telephone | 602-671-2826
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 S RENAISSANCE DR UNIT 101
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City | GILBERT
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State | AZ
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Zip | 85297-1176
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Country | US
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Telephone | 602-460-6691
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20670
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S024847
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License Number State | AZ
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