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Individual
SUSAN L SCOTT
Active
Individual
SUSAN L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191713
WA L & I
—
01
—
7570SC
REGENCE BS
—
05
—
8405854
—
WA
01
—
8936787
WA CRIME VICTIM
—
Enumeration date
06/12/2006
Last updated
09/24/2024
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