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General NPI Number Information
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NPI Number | 1346386406
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Entity Type | Individual
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Provider Name | SCOTT K SMITH DC
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 4750 OCEANSIDE BLVD STE A17
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City | OCEANSIDE
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State | CA
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Zip | 92056-3052
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Country | US
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Telephone | 760-945-4652
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Fax | 760-945-4653
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Provider Business Mailing Address
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Address Line | 4750 OCEANSIDE BLVD STE A17
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City | OCEANSIDE
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State | CA
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Zip | 92056-3052
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Country | US
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Telephone | 760-945-4652
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Fax | 760-945-4653
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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 | DC19611
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 590
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License Number State | MT
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