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General NPI Number Information
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NPI Number | 1477506186
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Entity Type | Individual
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Provider Name | SCOTT R OOSTERVEEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 60 COMMERCIAL ST STE 404 CONCORD HOSPITAL MEDICAL OFFICE AT HORSESHOE POND
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City | CONCORD
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State | NH
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Zip | 03301-5096
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Country | US
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Telephone | 603-228-1763
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Fax |
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Provider Business Mailing Address
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Address Line | 60 COMMERCIAL ST STE 404 CONCORD HOSPITAL MEDICAL OFFICE AT HORSESHOE POND
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City | CONCORD
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State | NH
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Zip | 03301-5096
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Country | US
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Telephone | 603-228-1763
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD431420
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 16487
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License Number State | NH
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