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General NPI Number Information
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NPI Number | 1538663026
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Entity Type | Individual
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Provider Name | NATHAN POTTER MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 04/18/2021
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Provider Practice Location Address
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Address Line | 4755 OGLETOWN STANTON RD
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City | NEWARK
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State | DE
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Zip | 19718-2200
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Country | US
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Telephone | 302-733-4176
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Fax |
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Provider Business Mailing Address
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Address Line | 11 WHITEHALL RD
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City | ROCHESTER
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State | NH
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Zip | 03867-3226
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Country | US
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Telephone | 727-507-2536
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 21350
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License Number State | NH
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