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General NPI Number Information
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NPI Number | 1023039435
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Entity Type | Individual
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Provider Name | ROBERT RANDALL SCHAFFER M.D., FAAFP
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 4100 W 3RD ST
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City | DAYTON
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State | OH
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Zip | 45428-9000
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Country | US
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Telephone | 937-268-6511
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Fax | 513-423-3309
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Provider Business Mailing Address
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Address Line | 420 N JAMES RD
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City | COLUMBUS
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State | OH
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Zip | 43219-1834
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Country | US
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Telephone | 614-257-5800
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Fax | 614-257-5801
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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 | ME91795
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6192
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35056157
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License Number State | OH
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