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General NPI Number Information
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NPI Number | 1235644733
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Entity Type | Organization
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Legal Business Name | SCOTT R. MINTON CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 11852 ALLISONVILLE RD
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City | FISHERS
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State | IN
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Zip | 46038-2312
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Country | US
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Telephone | 317-598-5221
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Fax |
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Provider Business Mailing Address
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Address Line | 11852 ALLISONVILLE RD
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City | FISHERS
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State | IN
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Zip | 46038-2312
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Country | US
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Telephone | 317-598-5221
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SCOTT MINTON
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Credential | DC
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Telephone | 812-319-7630
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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 | 08002908A
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License Number State | IN
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