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General NPI Number Information
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NPI Number | 1164548277
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Entity Type | Organization
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Legal Business Name | THE SCHUSTER CLINIC FOR ENDOCRINOLOGY & METABOLISM
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6545 FRANCE AVE S 363
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City | EDINA
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State | MN
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Zip | 55435-2131
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Country | US
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Telephone | 952-920-8386
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Fax |
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Provider Business Mailing Address
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Address Line | 6545 FRANCE AVE S 363
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City | EDINA
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State | MN
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Zip | 55435-2131
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Country | US
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Telephone | 952-920-8386
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAWRENCE SCHUSTER
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Credential | MD
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Telephone | 952-920-8386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 021284
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License Number State | MN
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