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General NPI Number Information
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NPI Number | 1285749093
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Entity Type | Organization
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Legal Business Name | REGIONAL MEDICAL PRACTICE, PC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 135 N. MAIN ST.
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City | CORTLAND
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State | NY
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Zip | 13045
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Country | US
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Telephone | 607-758-8019
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Fax | 607-758-8210
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Provider Business Mailing Address
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Address Line | PO BOX 627 134 HOMER AVE.
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City | CORTLAND
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State | NY
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Zip | 13045
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Country | US
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Telephone | 607-758-8019
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Fax | 607-758-8210
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROGER E. SCOTT
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Credential | D.O.
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Telephone | 607-758-8019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 153402
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 196572
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 145322-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 253350
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 134918
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 123597
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 211879
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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