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General NPI Number Information
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NPI Number | 1447236435
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Entity Type | Individual
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Provider Name | SCOTT C MCGOVERN MD
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Gender | Male
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1675 WOODBROOKE DR
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City | SALISBURY
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State | MD
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Zip | 21804-8502
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Country | US
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Telephone | 410-749-4154
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69709
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City | BALTIMORE
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State | MD
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Zip | 21264-9709
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Country | US
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Telephone | 410-749-4154
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D0069182
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | D0069182
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License Number State | MD
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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 | A103855
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License Number State | CA
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