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General NPI Number Information
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NPI Number | 1265437925
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Entity Type | Individual
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Provider Name | CRANFORD LAVERN SCOTT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 233 N PRAIRIE AVE
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City | INGLEWOOD
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State | CA
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Zip | 90301-1412
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Country | US
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Telephone | 310-673-6581
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Fax | 310-419-4493
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Provider Business Mailing Address
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Address Line | PO BOX 1010
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City | INGLEWOOD
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State | CA
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Zip | 90308-1010
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Country | US
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Telephone | 310-673-6581
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Fax | 310-419-4493
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C32142
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License Number State | CA
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