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General NPI Number Information
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NPI Number | 1215391115
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Entity Type | Individual
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Provider Name | SCOTT RATHER SCHUBERT M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 2020 W STATE HIGHWAY 114 STE 130
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City | GRAPEVINE
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State | TX
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Zip | 76051-8649
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Country | US
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Telephone | 682-214-3486
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Fax |
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Provider Business Mailing Address
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Address Line | 4609 FAIRFAX AVE
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City | DALLAS
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State | TX
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Zip | 75209-6011
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Country | US
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Telephone | 214-801-4488
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | U6073
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | U6073
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License Number State | TX
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