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General NPI Number Information
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NPI Number | 1457587396
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Entity Type | Organization
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Legal Business Name | SCOTT A NEMEC DO PC
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Dates
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Enumeration Date | 06/05/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 4048 CEDAR BLUFF DR
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City | PETOSKEY
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State | MI
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Zip | 49770-8895
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Country | US
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Telephone | 231-439-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 4048 CEDAR BLUFF DR STE 1 PO BOX 430
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City | PETOSKEY
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State | MI
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Zip | 49770-8895
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Country | US
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Telephone | 231-439-8020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT ALLEN NEMEC
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Credential | DO
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Telephone | 231-439-8020
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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 | 510101568
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License Number State | MI
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