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General NPI Number Information
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NPI Number | 1023011962
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Entity Type | Individual
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Provider Name | CHARLES JOHN SCHLEUPNER MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 1970 ROANOKE BOULEVARD
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City | SALEM
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State | VA
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Zip | 24153
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Country | US
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Telephone | 540-982-2463
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Fax | 540-855-3406
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Provider Business Mailing Address
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Address Line | 1970 ROANOKE BOULEVARD DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
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City | SALEM
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State | VA
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Zip | 24153
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Country | US
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Telephone | 540-982-2463
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Fax | 540-855-3406
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 98-01050
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 0101-029045
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License Number State | VA
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