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General NPI Number Information
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NPI Number | 1164035879
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Entity Type | Organization
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Legal Business Name | SCOTT SPINE AND HEALTH LLC
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 2560 W. ARMITAGE AVE UNIT C2
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City | CHICAGO
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State | IL
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Zip | 60647
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Country | US
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Telephone | 773-355-4764
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Fax |
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Provider Business Mailing Address
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Address Line | 15951 LECLAIRE AVE APT 3B
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City | OAK FOREST
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State | IL
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Zip | 60452-3984
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Country | US
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Telephone | 708-268-2903
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. WESTLEY SCOTT
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Credential | DC
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Telephone | 708-268-2903
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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 |
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License Number State |
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