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General NPI Number Information
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NPI Number | 1073463261
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Entity Type | Individual
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Provider Name | DR. DYLAN J SCALICE
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Gender | Male
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 3617 N MERIDIAN AVE STE 101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-2823
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Country | US
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Telephone | 405-946-9946
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Fax |
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Provider Business Mailing Address
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Address Line | 6604 STINCHCOMB DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73132-3818
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Country | US
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Telephone | 405-816-4238
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4703
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License Number State | OK
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