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General NPI Number Information
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NPI Number | 1851424147
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Entity Type | Organization
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Legal Business Name | SCOTT W HEDRICK DCPA
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 3475 SHERIDAN ST SUITE 207
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3663
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Country | US
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Telephone | 954-987-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 3475 SHERIDAN ST SUITE 207
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3663
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Country | US
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Telephone | 954-987-2220
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SCOTT W HEDRICK
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Credential | DCPA
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Telephone | 954-987-2220
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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 | CH0005834
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License Number State | FL
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