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NPI Code Detail

MEDICARE: DEANNE SCOTT

MEDICARE:   DEANNE  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
1347C00000XPrivate VehicleT23872575VA

General Provider Information

NPI Number : 1760028120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNE SCOTT
Provider Business Mailing Address
First Line : 1448 TALISMAN CIR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-6118
Country : US
Telephone Number : 757-735-3951
Fax Number :
Provider Business Practice Location Address
First Line : 1448 TALISMAN CIR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-6118
Country : US
Telephone Number : 757-735-3951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2019
Last Update Date : 01/14/2020

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Directions to “ DEANNE SCOTT ” Practice Location

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