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General NPI Number Information
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NPI Number | 1073723706
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Entity Type | Individual
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Provider Name | SCOTT CORMIER L.AC.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 513 SAVANNAH HWY UNIT A
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City | CHARLESTON
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State | SC
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Zip | 29407-7353
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Country | US
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Telephone | 843-640-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 513 SAVANNAH HWY UNIT A
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City | CHARLESTON
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State | SC
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Zip | 29407-7353
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Country | US
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Telephone | 843-640-1818
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 078
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 165
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 247
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License Number State | ME
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