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General NPI Number Information
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NPI Number | 1528237187
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Entity Type | Organization
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Legal Business Name | SCOTT DUONG, DC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 2701 OCEAN PARK BLVD SUITE 119
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City | SANTA MONICA
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State | CA
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Zip | 90405-5200
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Country | US
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Telephone | 310-396-5351
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Fax | 310-396-7858
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Provider Business Mailing Address
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Address Line | 2701 OCEAN PARK BLVD SUITE 119
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City | SANTA MONICA
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State | CA
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Zip | 90405-5200
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Country | US
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Telephone | 310-396-5351
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Fax | 310-396-7858
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT DUONG
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Credential | D.C.
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Telephone | 310-396-5351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT34579
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC27749
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License Number State | CA
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