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Individual
DR. SCOTT DENNIS SHOWALTER
Active
Individual
DR. SCOTT DENNIS SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
20791
CA
111N00000X
Chiropractor
Primary
X006431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000228623003
BLUE CROSS/BLUE SHEILD
NY
01
—
161408182-02
PRISM NETWORK PROVIDER
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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