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NPI 1861482275

NPI 1861482275 : SCOTT H CULP D.O. : NORTH WALES, PA

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General NPI Number Information
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    NPI Number           |    1861482275
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT H CULP D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/26/2005
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    Last Update Date     |    11/13/2018
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Provider Practice Location Address
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    Address Line         |    212 N MAIN ST STE 203 
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    City                 |    NORTH WALES
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    State                |    PA
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    Zip                  |    19454
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    Country              |    US
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    Telephone            |    215-699-1501
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    Fax                  |    215-699-1505
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Provider Business Mailing Address
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    Address Line         |    PO BOX 789967 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19178-9967
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    Country              |    US
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    Telephone            |    484-622-7395
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    Fax                  |    484-622-7399
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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       |    OS010102L
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    License Number State |    PA
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