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Individual
SCOTT BRADFORD ALLEN
Active
Individual
SCOTT BRADFORD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557570
VA
2255A2300X
Athletic Trainer
A0000719
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104-557570
STATE LICENSE
VA
Enumeration date
06/26/2015
Last updated
05/01/2019
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