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General NPI Number Information
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NPI Number | 1750397295
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Entity Type | Individual
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Provider Name | SCOTT W ANDERSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | ST. JOSEPH'S CARDIOLOGY GROUP LLC 11700 MERCY BLVD, PLAZA D, BLDG 6
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City | SAVANNAH
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State | GA
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Zip | 31419
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Country | US
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Telephone | 912-927-3434
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Fax | 912-927-5016
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Provider Business Mailing Address
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Address Line | 11700 MERCY BLVD STE 6
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City | SAVANNAH
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State | GA
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Zip | 31419-1753
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Country | US
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Telephone | 912-927-3434
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Fax | 912-927-5016
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 20649
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License Number State | GA
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