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General NPI Number Information
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NPI Number | 1215245881
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Entity Type | Organization
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Legal Business Name | SCRANTON CLINIC OF CHIROPRACTIC
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 4775 W. DAYBREAK PARKWAY ST. 102
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City | SOUTH JORDAN
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State | UT
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Zip | 84095
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Country | US
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Telephone | 309-737-1534
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Fax | 432-204-3527
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Provider Business Mailing Address
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Address Line | 4775 W. DAYBREAK PARKWAY ST. 102
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City | SOUTH JORDAN
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State | UT
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Zip | 84095
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Country | US
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Telephone | 309-737-1534
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Fax | 432-204-3527
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT J SCRANTON
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Credential | D.C.
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Telephone | 309-230-3971
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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 | 8689336-1202
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License Number State | UT
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