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General NPI Number Information
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NPI Number | 1063433555
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Entity Type | Individual
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Provider Name | EDWARD J SCHEEL MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 1801 SE HILLMOOR DR SUITE A101
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-7553
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Country | US
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Telephone | 772-337-5535
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Fax | 772-337-3655
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Provider Business Mailing Address
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Address Line | 1801 SE HILLMOOR DR SUITE A101
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-7553
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Country | US
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Telephone | 772-486-7879
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME39894
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License Number State | FL
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