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General NPI Number Information
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NPI Number | 1467760397
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Entity Type | Individual
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Provider Name | SCOTT FOLSOM DC
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Gender | Male
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 802 S RAINBOW ST STE 1
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City | WASILLA
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State | AK
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Zip | 99629
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Country | US
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Telephone | 907-892-7246
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Fax | 907-892-7226
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Provider Business Mailing Address
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Address Line | 1150 S COLONY WAY STE 3 PMB 226
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City | PALMER
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State | AK
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Zip | 99645
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Country | US
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Telephone | 907-892-7246
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Fax | 907-892-7226
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 11600
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 577
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License Number State | AK
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