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NPI Code Detail

MEDICARE: ANGELA GAYLE SCOTT MS

MEDICARE: ANGELA GAYLE SCOTT MS
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
1225X00000XOccupational Therapist6289NC

General Provider Information

NPI Number : 1225189541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA GAYLE SCOTT MS
Provider Business Mailing Address
First Line : 101 COOPER GLEN PL
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27517-5554
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 113 HILLCREST DR
Second Line :
City : SANFORD
State : NC
Zip : 27330-4020
Country : US
Telephone Number : 919-777-0240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 07/08/2007

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