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General NPI Number Information
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NPI Number | 1881875219
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Entity Type | Individual
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Provider Name | TONY C SCARLASSARA D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 615 W ADAMS ST
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City | IRON RIVER
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State | MI
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Zip | 49935-1321
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Country | US
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Telephone | 906-265-9000
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Fax | 906-265-9009
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Provider Business Mailing Address
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Address Line | 615 W ADAMS ST
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City | IRON RIVER
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State | MI
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Zip | 49935-1321
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Country | US
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Telephone | 906-265-9000
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Fax | 906-265-9009
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301009353
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License Number State | MI
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