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General NPI Number Information
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NPI Number | 1811341456
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Entity Type | Individual
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Provider Name | SCOTT MATTHEWS MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 8220 MEADOWBRIDGE RD STE 310
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2340
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Country | US
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Telephone | 804-417-0120
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Fax | 804-349-0158
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Provider Business Mailing Address
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Address Line | 2131 S 17TH ST
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City | WILMINGTON
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State | NC
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Zip | 28401-7407
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Country | US
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Telephone | 910-343-7000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 218524
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 0101273671
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License Number State | VA
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