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General NPI Number Information
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NPI Number | 1780692970
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Entity Type | Organization
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Legal Business Name | SCOTT M. CLINARD, D.D.S., P.A.
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 571 COX RD SUITE A
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City | GASTONIA
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State | NC
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Zip | 28054
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Country | US
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Telephone | 704-864-8896
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Fax | 704-865-3879
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Provider Business Mailing Address
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Address Line | 571 COX RD SUITE A
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City | GASTONIA
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State | NC
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Zip | 28054-0632
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Country | US
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Telephone | 704-864-8896
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Fax | 704-865-3879
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT M CLINARD
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Credential | D.D.S.
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Telephone | 704-864-8896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4182
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License Number State | NC
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