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General NPI Number Information
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NPI Number | 1407152739
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Entity Type | Organization
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Legal Business Name | DR SCOTT SPRINGSTEAD DC PC
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 316 NEW YORK AVE
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City | OGDENSBURG
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State | NY
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Zip | 13669-2503
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Country | US
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Telephone | 315-394-2225
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Fax | 315-394-0438
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Provider Business Mailing Address
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Address Line | 316 NEW YORK AVE
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City | OGDENSBURG
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State | NY
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Zip | 13669-2503
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Country | US
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Telephone | 315-394-2225
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Fax | 315-394-0438
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | SCOTT SPRINGSTEAD
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Credential | DC
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Telephone | 315-394-2225
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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 | 007187
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License Number State | NY
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