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Individual
SCOTT ELLIOTT TALBOT
Active
Individual
SCOTT ELLIOTT TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038319204
—
TX
01
—
038319205
MEDICAID OTHER
TX
01
—
P00178879
RAILROAD MEDICARE
TX
Enumeration date
06/10/2006
Last updated
09/27/2021
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