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General NPI Number Information
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NPI Number | 1326412156
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Entity Type | Organization
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Legal Business Name | SCOTT FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 2 NANTUCKET PL
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City | GREENLAND
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State | NH
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Zip | 03840-2620
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Country | US
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Telephone | 603-686-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARK AVE STE 7B-G
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City | HAMPTON
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State | NH
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Zip | 03842-2116
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Country | US
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Telephone | 603-929-7268
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Fax | 603-929-7268
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD SCOTT ALDERSON
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Credential | D.C.
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Telephone | 603-929-7268
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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 | 6120900
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License Number State | NH
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