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Individual
MATTHEW WILSON SCOTT
Active
Individual
MATTHEW WILSON SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
212
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10449833
NCQA
—
Enumeration date
10/23/2006
Last updated
07/08/2007
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