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General NPI Number Information
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NPI Number | 1336502111
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Entity Type | Organization
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Legal Business Name | SCOTT CRAIG MD
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 1000 PHYSICIANS WAY
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City | FRANKLIN
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State | TN
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Zip | 37067-1471
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Country | US
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Telephone | 630-715-9317
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Fax | 615-721-4395
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Provider Business Mailing Address
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Address Line | 9634 MILLSFORD CT
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City | BRENTWOOD
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State | TN
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Zip | 37027-8475
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Country | US
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Telephone | 630-715-9317
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRIS CRAIG
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Credential |
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Telephone | 630-715-9317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD0000053297
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License Number State | TN
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