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General NPI Number Information
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NPI Number | 1215466248
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Entity Type | Individual
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Provider Name | IAN GARRET SCHROEDER MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2017
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | LRMC DR HITZELBERGERSTRASSE
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City | LANDSTUHL
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State | RHINELAND
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Zip | 66849
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Country | DE
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Telephone | 805-451-2247
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 402 BOX 813
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City | APO
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State | AE
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Zip | 09180-0009
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Country | US
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Telephone | 805-451-2247
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A157569
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License Number State | CA
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