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General NPI Number Information
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NPI Number | 1750295739
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Entity Type | Organization
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Legal Business Name | SCOTT MCLAREN DDS WAXHAW PLLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 2514 CUTHBERTSON RD
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City | WAXHAW
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State | NC
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Zip | 28173-6416
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Country | US
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Telephone | 704-587-7336
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Fax |
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Provider Business Mailing Address
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Address Line | 5504 FULTON RIDGE DR
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-4244
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Country | US
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Telephone | 973-610-5812
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Fax |
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Authorized Official
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Title or Position | REGIONAL MANAGER
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Name | KAROL MANCHOLA
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Credential |
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Telephone | 980-875-9158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State | NULL
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