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General NPI Number Information
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NPI Number | 1023293123
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Entity Type | Organization
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Legal Business Name | DR KARIN SCHOELER OD PA
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 15 OLD KINGS RD N SUITE 3
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City | PALM COAST
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State | FL
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Zip | 32137-8259
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Country | US
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Telephone | 386-445-1385
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Fax |
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Provider Business Mailing Address
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Address Line | 15 OLD KINGS RD N SUITE 3
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City | PALM COAST
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State | FL
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Zip | 32137-8259
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Country | US
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Telephone | 386-445-1385
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JUDY L PETRUZZELLA
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Credential |
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Telephone | 386-445-1385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 3472
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License Number State | FL
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