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General NPI Number Information
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NPI Number | 1447219498
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Entity Type | Individual
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Provider Name | DAVID RANDOLPH SCOTT MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2006
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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
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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 | 757-442-7375
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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 | 0101042418
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License Number State | VA
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