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General NPI Number Information
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NPI Number | 1972440386
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Entity Type | Organization
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Legal Business Name | SCOTT C. POULTON, MD LLC
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Dates
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Enumeration Date | 05/02/2026
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Last Update Date | 05/02/2026
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Provider Practice Location Address
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Address Line | 405 FREDERICK RD STE 200
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City | CATONSVILLE
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State | MD
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Zip | 21228-4647
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Country | US
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Telephone | 410-747-8773
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Fax | 410-747-6241
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Provider Business Mailing Address
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Address Line | 12828 AMBERWOODS WAY
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City | SYKESVILLE
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State | MD
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Zip | 21784-5524
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Country | US
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Telephone | 410-747-8773
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Fax | 410-747-6241
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SCOTT CRAIG POULTON
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Credential | MD
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Telephone | 410-456-1399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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