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General NPI Number Information
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NPI Number | 1174738769
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Entity Type | Organization
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Legal Business Name | J. C. SCHOFFLER, DPM PC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/15/2018
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Provider Practice Location Address
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Address Line | 2906 HIGHGROVE CT
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City | COLLEYVILLE
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State | TX
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Zip | 76034
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Country | US
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Telephone | 817-832-1182
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Fax |
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Provider Business Mailing Address
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Address Line | 2608 HARWOOD RD
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City | BEDFORD
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State | TX
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Zip | 76021-3700
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Country | US
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Telephone | 817-283-7288
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | SHARLA N FANNIN
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Credential |
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Telephone | 214-886-8741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State | NULL
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