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General NPI Number Information
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NPI Number | 1336301183
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Entity Type | Organization
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Legal Business Name | NORTH OGDEN CHIROPRACTIC & WELLNESS, L.L.C.
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 428 E 2600 N
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2975
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Country | US
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Telephone | 801-776-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 428 E 2600 N STE 4
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2975
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Country | US
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Telephone | 801-776-3200
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. DARREN SCOTT
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Credential | DC
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Telephone | 801-391-9418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4957561-1202
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License Number State | UT
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