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General NPI Number Information
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NPI Number | 1285029637
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Entity Type | Individual
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Provider Name | NICHOLAS SCOTT JOHNSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 11902 97TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-1882
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Country | US
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Telephone | 425-821-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 13623 94TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-1843
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Country | US
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Telephone | 763-607-8332
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Fax |
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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 | 60534944
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License Number State | WA
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