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General NPI Number Information
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NPI Number | 1821534116
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Entity Type | Individual
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Provider Name | SCOTT POLANSKY D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2200 ST LUKES BLVD STE 100
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City | EASTON
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State | PA
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Zip | 18045-5665
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Country | US
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Telephone | 845-261-7354
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 ST LUKES BLVD STE 100
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City | EASTON
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State | PA
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Zip | 18045-5665
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Country | US
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Telephone | 845-261-7354
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS022376
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 28907
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | UO4865
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License Number State | FL
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