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General NPI Number Information
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NPI Number | 1548383193
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Entity Type | Individual
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Provider Name | GEORGE CRAWFORD SCOTT III DDS
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Gender | Male
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 4901 EAST PATRICK HENRY HIGHWAY
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City | BURKEVILLE
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State | VA
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Zip | 23922
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Country | US
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Telephone | 434-767-7885
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Fax | 434-767-5205
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Provider Business Mailing Address
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Address Line | 5305 BEECHWOOD POINT CT
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2535
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Country | US
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Telephone | 804-739-1421
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401006948
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License Number State | VA
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