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General NPI Number Information
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NPI Number | 1669481891
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Entity Type | Individual
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Provider Name | SCOTT J VRZAL D.C
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 26081 GETTY DR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1233
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Country | US
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Telephone | 949-582-9090
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Fax | 949-582-9093
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Provider Business Mailing Address
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Address Line | 26081 GETTY DR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1233
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Country | US
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Telephone | 949-582-9090
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Fax | 949-582-9093
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | DC24836
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License Number State | CA
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