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General NPI Number Information
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NPI Number | 1124330774
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Entity Type | Individual
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Provider Name | JEREMY ANDREW SCHRAM D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3540 READING RD
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City | CINCINNATI
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State | OH
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Zip | 45229-2626
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Country | US
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Telephone | 513-452-7007
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Fax | 513-437-0104
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Provider Business Mailing Address
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Address Line | PO BOX 746071
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City | ATLANTA
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State | GA
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Zip | 30374-6071
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Country | US
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Telephone | 312-733-9730
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Fax | 773-866-8014
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34011166
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 03490
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License Number State | KY
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