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General NPI Number Information
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NPI Number | 1114015625
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Entity Type | Individual
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Provider Name | MARK E SCHNEIDER D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 9360 E CENTRAL AVE STE 101
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City | WICHITA
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State | KS
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Zip | 67206-2560
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Country | US
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Telephone | 316-687-0777
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Fax | 316-636-5885
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Provider Business Mailing Address
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Address Line | 800 N SANDPIPER ST
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City | WICHITA
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State | KS
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Zip | 67230-7013
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Country | US
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Telephone | 316-686-3589
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Fax | 316-636-5885
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6535
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License Number State | KS
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