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General NPI Number Information
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NPI Number | 1548592272
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Entity Type | Individual
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Provider Name | NATHAN SCOTT ROBERTS D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 2075 GLENN MITCHELL DR STE 512
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-0179
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Country | US
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Telephone | 757-507-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 2075 GLENN MITCHELL DR STE 512
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-0179
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Country | US
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Telephone | 757-507-8850
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4951
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS021057
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0102209063
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License Number State | VA
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