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General NPI Number Information
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NPI Number | 1174669725
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Entity Type | Organization
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Legal Business Name | SCOTT J. SCAFIDI DC PA
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1451 HIGHWAY 17 S SUITE B
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-3803
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Country | US
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Telephone | 843-272-1992
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Fax | 843-272-1117
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Provider Business Mailing Address
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Address Line | 1451 HIGHWAY 17 S SUITE B
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-3803
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Country | US
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Telephone | 843-272-1992
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Fax | 843-272-1117
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | SCOTT JOHN SCAFIDI
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Credential | DC
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Telephone | 843-272-1992
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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 | 1175
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License Number State | SC
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