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General NPI Number Information
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NPI Number | 1104946037
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Entity Type | Organization
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Legal Business Name | SCOTT A. NAEGELE, MD, PLLC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 830 PENNSYLVANIA AVE SUITE 108
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City | CHARLESTON
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State | WV
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Zip | 25302-3389
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Country | US
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Telephone | 304-344-8368
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Fax | 304-342-8938
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Provider Business Mailing Address
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Address Line | 830 PENNSYLVANIA AVE SUITE 108
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City | CHARLESTON
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State | WV
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Zip | 25302-3389
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Country | US
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Telephone | 304-344-8368
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Fax | 304-342-8938
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT ALAN NAEGELE
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Credential | M.D.
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Telephone | 304-344-8368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 17050
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License Number State | WV
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