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General NPI Number Information
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NPI Number | 1184983769
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Entity Type | Individual
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Provider Name | DAVID SCHAUMBURG MOSBACH MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 1535 GULL RD STE 200
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City | KALAMAZOO
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State | MI
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Zip | 49048-1638
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Country | US
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Telephone | 269-388-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 5333 MCAULEY DR SUITE 6016
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City | YPSILANTI
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State | MI
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Zip | 48197-1014
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Country | US
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Telephone | 734-712-8350
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Fax | 734-712-8351
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME163737
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301113952
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License Number State | MI
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