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General NPI Number Information
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NPI Number | 1972523207
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Entity Type | Individual
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Provider Name | HENCY SCUTT N.P.,
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 355 OVINGTON AVE SUITE 203
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City | BROOKLYN
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State | NY
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Zip | 11209-1483
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Country | US
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Telephone | 718-759-0109
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Fax | 718-759-0101
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Provider Business Mailing Address
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Address Line | 355 OVINGTON AVE SUITE 203
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City | BROOKLYN
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State | NY
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Zip | 11209-1483
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Country | US
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Telephone | 718-759-0109
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Fax | 718-759-0101
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | F303384
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F303384
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License Number State | NY
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