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General NPI Number Information
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NPI Number | 1992286702
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Entity Type | Individual
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Provider Name | KATHRIN SCOTT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 3530 S VAL VISTA DR STE 214
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City | GILBERT
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State | AZ
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Zip | 85297-7324
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Country | US
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Telephone | 480-718-9960
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Fax |
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Provider Business Mailing Address
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Address Line | 3390 S SANTA RITA WAY
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City | CHANDLER
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State | AZ
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Zip | 85286-0249
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Country | US
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Telephone | 602-910-7174
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP11709
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License Number State | AZ
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