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Individual
DR. SCOTT EDWARD FULLER
Active
Individual
DR. SCOTT EDWARD FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH1564
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027013
CIGNA
MA
01
—
1001665
AMERICAN SPECIALTY HEALTH
MA
01
—
1611577
MASSHEALTH
MA
01
—
4494653
AETNA
MA
01
—
AA127819
HARVARD PILGRIM
MA
01
—
Y36107
BCBS MA
MA
Enumeration date
02/08/2006
Last updated
04/17/2023
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