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General NPI Number Information
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NPI Number | 1205573417
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Entity Type | Organization
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Legal Business Name | SCHNEIDER DENTAL
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 4820 E CAMP LOWELL DR
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City | TUCSON
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State | AZ
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Zip | 85712-1276
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Country | US
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Telephone | 480-577-1614
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Fax |
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Provider Business Mailing Address
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Address Line | 7516 N CAMINO SIN VACAS
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City | TUCSON
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State | AZ
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Zip | 85718-1251
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Country | US
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Telephone | 480-577-1614
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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. KARLEY SCHNEIDER
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Credential | DMD
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Telephone | 480-577-1614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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