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General NPI Number Information
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NPI Number | 1538994231
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Entity Type | Individual
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Provider Name | ALLISON SCOTT DC
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Gender | Female
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 2095 HIGHWAY 211 NW STE 3A
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City | BRASELTON
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State | GA
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Zip | 30517-3403
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Country | US
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Telephone | 678-710-3011
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Fax |
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Provider Business Mailing Address
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Address Line | 225 BROADMOOR DR
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City | BRASELTON
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State | GA
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Zip | 30517-3308
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Country | US
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Telephone | 901-545-9261
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR011249
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License Number State | GA
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