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NPI Code Detail

MEDICARE: PATRICK SCOTT

MEDICARE:   PATRICK  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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1285249193
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK SCOTT
Provider Business Mailing Address
First Line : 5120 GODOWN RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-7202
Country : US
Telephone Number : 614-270-3110
Fax Number :
Provider Business Practice Location Address
First Line : 5120 GODOWN RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-7202
Country : US
Telephone Number : 614-270-3110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2020
Last Update Date : 09/09/2020

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Directions to “ PATRICK SCOTT ” Practice Location

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