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Individual
SHANE M. SCOTT
Active
Individual
SHANE M. SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 24217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0711373
TAX ID #
CA
01
—
DC 24217
DC #
CA
Enumeration date
11/08/2006
Last updated
08/06/2024
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