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NPI Code Detail

MEDICARE: JOSHUA SCOTT

MEDICARE:   JOSHUA  SCOTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1104226810
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA SCOTT
Provider Business Mailing Address
First Line : 6844 SCARLET FLAX ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4830
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6844 SCARLET FLAX ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4830
Country : US
Telephone Number : 702-910-9345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2014
Last Update Date : 08/29/2014

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Directions to “ JOSHUA SCOTT ” Practice Location

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