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General NPI Number Information
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NPI Number | 1487763108
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Entity Type | Organization
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Legal Business Name | M. SCOTT MAJOR M.D.
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 5896 S RIDGELINE DR STE B
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City | SOUTH OGDEN
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State | UT
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Zip | 84405-4928
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Country | US
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Telephone | 801-866-0170
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Fax | 801-866-0169
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Provider Business Mailing Address
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Address Line | 5896 S RIDGELINE DR STE B
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City | SOUTH OGDEN
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State | UT
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Zip | 84405-4928
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Country | US
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Telephone | 801-866-0170
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Fax | 801-866-0169
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL SCOTT MAJOR
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Credential | M.D.
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Telephone | 801-866-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4889252-1205
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License Number State | UT
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