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General NPI Number Information
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NPI Number | 1063395374
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Entity Type | Individual
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Provider Name | CONNOR ALLEN SCHIFFER M.A.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 100 N MAIN ST
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City | CHATTAHOOCHEE
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State | FL
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Zip | 32324-1107
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Country | US
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Telephone | 850-663-1046
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Fax |
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Provider Business Mailing Address
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Address Line | 119 E WASHINGTON ST APT 4
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City | CHATTAHOOCHEE
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State | FL
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Zip | 32324-1556
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Country | US
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Telephone | 304-231-6127
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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