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General NPI Number Information
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NPI Number | 1366656712
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Entity Type | Individual
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Provider Name | ROGER WAYNE BOATWRIGHT M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 100 ABBEYVILLE RD
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City | LANCASTER
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State | PA
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Zip | 17603-4604
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Country | US
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Telephone | 301-722-0484
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Fax | 833-903-0130
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Provider Business Mailing Address
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Address Line | 157 BALTIMORE ST STE 104
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City | CUMBERLAND
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State | MD
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Zip | 21502-2472
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Country | US
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Telephone | 301-722-0484
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Fax | 833-903-0130
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0101242423
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD440992
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD440992
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License Number State | PA
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