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General NPI Number Information
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NPI Number | 1215925813
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Entity Type | Individual
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Provider Name | SCOTT W MARTIN DC
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 8444 CRENSHAW BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90305-1914
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Country | US
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Telephone | 323-753-2488
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Fax | 323-753-2186
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Provider Business Mailing Address
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Address Line | 8444 CRENSHAW BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90305-1914
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Country | US
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Telephone | 323-753-2488
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Fax | 323-753-2186
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC16613
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License Number State | CA
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