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General NPI Number Information
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NPI Number | 1053507293
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Entity Type | Organization
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Legal Business Name | JOHN SCHELAND, DPM PC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3 ABINGTON EXECUTIVE PARK STE 7
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-2268
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Country | US
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Telephone | 570-586-5687
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Fax | 570-586-5671
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Provider Business Mailing Address
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Address Line | 630 CLARK ST
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City | OLD FORGE
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State | PA
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Zip | 18518-1512
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Country | US
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Telephone | 570-457-1681
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Fax | 570-586-5671
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN ANTHONY SCHELAND
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Credential | DPM
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Telephone | 570-586-5687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC004413L
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License Number State | PA
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