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General NPI Number Information
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NPI Number | 1164688909
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Entity Type | Individual
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Provider Name | STEPHEN ALEXANDER SCHANTZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 3288 EAGLE VIEW LN STE 300
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City | LEXINGTON
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State | KY
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Zip | 40509-9019
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Country | US
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Telephone | 859-254-5665
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Fax | 859-281-6825
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Provider Business Mailing Address
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Address Line | 3288 EAGLE VIEW LN STE 300
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City | LEXINGTON
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State | KY
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Zip | 40509-9019
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Country | US
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Telephone | 859-254-5665
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Fax | 859-281-6825
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 32235
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License Number State | KY
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