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Individual
DR. SCOTT ALLEN CADY
Active
Individual
DR. SCOTT ALLEN CADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
2006019794
MO
183500000X
Pharmacist
1-14159
KS
183500000X
Pharmacist
Primary
2006019794
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357208206
MEDICAID - MTM
MO
Enumeration date
07/21/2006
Last updated
04/18/2019
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