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General NPI Number Information
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NPI Number | 1205086980
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Entity Type | Organization
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Legal Business Name | SCHEFFEL FOOT CENTER, PC
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 95 VERNON ST
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City | WORCESTER
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State | MA
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Zip | 01610-1988
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Country | US
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Telephone | 508-755-2466
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Fax | 508-755-6883
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Provider Business Mailing Address
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Address Line | PO BOX 34666
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City | BELFAST
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State | ME
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Zip | 04915-0624
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Country | US
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Telephone | 508-755-2466
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Fax | 508-755-6883
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | KRISTIN FLYNN SCHEFFEL
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Credential |
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Telephone | 508-755-2466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2171
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License Number State | MA
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