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General NPI Number Information
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NPI Number | 1194947499
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Entity Type | Organization
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Legal Business Name | SCOTT CHIROPRACTIC INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 13767 US HWY 441
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City | LADY LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-430-1890
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Fax |
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Provider Business Mailing Address
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Address Line | 13767 US HWY 441
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City | LADY LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-430-1890
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JAMES A SCOTT
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Credential | D.C.
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Telephone | 352-430-1890
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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 | CH8867
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License Number State | FL
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