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General NPI Number Information
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NPI Number | 1992571442
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Entity Type | Individual
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Provider Name | BRANDI NICOLE SCOTT FNP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 109 SCOTTS HILL MEDICAL DR STE 204
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City | WILMINGTON
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State | NC
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Zip | 28411
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Country | US
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Telephone | 910-662-1960
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Fax | 910-662-1969
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Provider Business Mailing Address
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Address Line | PO BOX 936857
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City | ATLANTA
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State | GA
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Zip | 31193-6857
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5019813
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 262065
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License Number State | NC
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