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General NPI Number Information
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NPI Number | 1063431468
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Entity Type | Individual
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Provider Name | TERRY G. SCHECHNER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2833 LINCOLN ST SUITE 1
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City | HIGHLAND
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State | IN
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Zip | 46322-1924
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Country | US
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Telephone | 219-838-2007
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Fax | 219-972-5267
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Provider Business Mailing Address
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Address Line | 85 TANGLEWOOD TRL
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City | VALPARAISO
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State | IN
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Zip | 46385-8942
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Country | US
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Telephone | 219-462-8891
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 12008141A
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License Number State | IN
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