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General NPI Number Information
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NPI Number | 1023574167
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Entity Type | Organization
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Legal Business Name | BRANDON M SCHAFER PLLC
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 6366 MECHANICSVILLE TPKE STE 205
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4704
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Country | US
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Telephone | 850-832-1582
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Fax |
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Provider Business Mailing Address
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Address Line | 10231 WINSTON BLVD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-4445
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Country | US
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Telephone | 850-832-1582
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | BRANDON SCHAFER
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Credential |
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Telephone | 850-832-1582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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