MEDICARE: DENIECE M BARNETT-SCOTT M.D.

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
1	207R00000X	Internal Medicine Physician	D38871	MD

General Provider Information

NPI Number	:	1457452328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENIECE M BARNETT-SCOTT M.D.

Provider Business Mailing Address
First Line	:	842 CRYSTAL PALACE CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-2256
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 YORK RD STE E
Second Line	:
City	:	TIMONIUM
State	:	MD
Zip	:	21093-5121
Country	:	US
Telephone Number	:	410-252-4015
Fax Number	:	410-252-7410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/08/2007

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