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General NPI Number Information
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NPI Number | 1114954013
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Entity Type | Individual
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Provider Name | STEVEN P SCHUCK DPM
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/28/2017
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Provider Practice Location Address
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Address Line | 909 MAIN ST STE 350
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City | DUBUQUE
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State | IA
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Zip | 52001
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Country | US
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Telephone | 563-582-3557
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Fax | 608-348-7774
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Provider Business Mailing Address
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Address Line | 909 MAIN ST STE 350
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City | DUBUQUE
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State | IA
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Zip | 52001
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Country | US
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Telephone | 563-582-3557
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Fax | 608-348-7774
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00403
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 485025
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License Number State | WI
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