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General NPI Number Information
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NPI Number | 1952638801
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Entity Type | Organization
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Legal Business Name | SCOTT A. DAHL D.C. PC
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 2885 N GARFIELD AVE
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City | LOVELAND
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State | CO
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Zip | 80538-3247
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Country | US
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Telephone | 970-669-7670
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Fax |
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Provider Business Mailing Address
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Address Line | 2885 N GARFIELD AVE
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City | LOVELAND
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State | CO
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Zip | 80538-3247
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Country | US
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Telephone | 970-669-7670
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT ALLEN DAHL I
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Credential | D.C.
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Telephone | 970-669-7620
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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 | 6389
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License Number State | CO
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