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General NPI Number Information
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NPI Number | 1366852014
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Entity Type | Organization
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Legal Business Name | SCOTT CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 05/03/2014
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 5080 VIRGINIA PKWY STE 550
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City | MCKINNEY
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State | TX
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Zip | 75071-5599
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Country | US
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Telephone | 972-540-5445
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Fax | 972-540-5433
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Provider Business Mailing Address
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Address Line | 5080 VIRGINIA PKWY STE 550
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City | MCKINNEY
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State | TX
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Zip | 75071-5633
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Country | US
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Telephone | 972-540-5445
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Fax | 972-540-5433
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW ALAN SCOTT
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Credential | DC
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Telephone | 972-540-5445
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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 | 11488
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License Number State | TX
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