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General NPI Number Information
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NPI Number | 1316975113
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Entity Type | Organization
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Legal Business Name | OBSTETRICS AND GYNECOLOGY ASSOCIATES OF THE EASTERN SHORE, INC.
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 10243 ROGERS DRIVE
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City | NASSAWADOX
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State | VA
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Zip | 23413-0836
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Country | US
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Telephone | 757-442-6719
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Fax | 757-442-7375
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Provider Business Mailing Address
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Address Line | PO BOX 836
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City | NASSAWADOX
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State | VA
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Zip | 23413-0836
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Country | US
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Telephone | 757-442-6719
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Fax | 757-442-7378
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DAVID R SCOTT
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Credential | MD
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Telephone | 757-442-6719
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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 |
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License Number State |
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