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General NPI Number Information
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NPI Number | 1811182645
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Entity Type | Organization
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Legal Business Name | M. K. SCOTT, DC PSC
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 1317 MONTGOMERY AVE
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City | ASHLAND
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State | KY
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Zip | 41101-2633
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Country | US
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Telephone | 606-329-9311
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Fax | 606-324-9493
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Provider Business Mailing Address
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Address Line | 1317 MONTGOMERY AVE
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City | ASHLAND
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State | KY
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Zip | 41101-2633
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Country | US
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Telephone | 606-329-9311
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Fax | 606-324-9493
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK K SCOTT
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Credential | D.C.
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Telephone | 606-329-9311
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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 |
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License Number State |
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