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General NPI Number Information
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NPI Number | 1982145660
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Entity Type | Individual
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Provider Name | SCOTT PASSAFIUME LPC-S, IAADC, LADAC
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Gender | Male
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 320 OUACHITA AVE STE 212
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City | HOT SPRINGS
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State | AR
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Zip | 71901-5165
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Country | US
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Telephone | 501-445-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 294 BONNIE BRAE ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-8519
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Country | US
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Telephone | 870-818-1789
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P1812156
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 457L
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License Number State | AR
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