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General NPI Number Information
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NPI Number | 1760487441
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Entity Type | Individual
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Provider Name | SCOTT W GERRY D. P. M.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 21 WHITEHALL RD STE 302
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City | ROCHESTER
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State | NH
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Zip | 03867-3236
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Country | US
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Telephone | 603-994-7633
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Fax | 603-994-7648
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Provider Business Mailing Address
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Address Line | PO BOX 736
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City | SPRINGVALE
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State | ME
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Zip | 04083-0736
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Country | US
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Telephone | 603-994-7633
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Fax | 603-994-7648
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD190
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD 190
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1842
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0193
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License Number State | NH
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