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General NPI Number Information
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NPI Number | 1205855749
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Entity Type | Individual
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Provider Name | DAVID A SCHIMMEL DMD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2013 SANDY DR
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City | STATE COLLEGE
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State | PA
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Zip | 16803-2514
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Country | US
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Telephone | 814-234-8527
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Fax |
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Provider Business Mailing Address
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Address Line | 619 ROSSLYN RD
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City | BOALSBURG
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State | PA
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Zip | 16827-1902
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Country | US
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Telephone | 814-466-4864
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS025022L
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License Number State | PA
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