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General NPI Number Information
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NPI Number | 1083232839
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Entity Type | Organization
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Legal Business Name | SCHAEFER DENTAL GROUP-HOWELL
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 112 W GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-2268
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Country | US
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Telephone | 517-546-8983
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Fax | 517-546-1422
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Provider Business Mailing Address
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Address Line | 112 W GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-2268
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Country | US
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Telephone | 517-546-8983
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Fax | 517-546-1422
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN PATRICK SCHAEFER
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Credential | DDS
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Telephone | 517-896-0039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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