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Individual

JASON G. SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-076223
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051551860
AL
01
430073451
MEDICARE RAILROAD
AL
Enumeration date
07/20/2006
Last updated
01/23/2014
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