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General NPI Number Information
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NPI Number | 1326092289
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Entity Type | Individual
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Provider Name | CHERYL MODLIN SCOTT DC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 360 CHERRY RUN CTR
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City | WASHINGTON
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State | NC
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Zip | 27889-4173
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Country | US
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Telephone | 252-362-0189
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Fax | 252-495-0032
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Provider Business Mailing Address
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Address Line | 360 CHERRY RUN CTR
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City | WASHINGTON
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State | NC
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Zip | 27889-4173
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Country | US
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Telephone | 252-975-4600
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Fax | 252-975-6367
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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 | 2679
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License Number State | NC
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