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General NPI Number Information
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NPI Number | 1225299449
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Entity Type | Individual
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Provider Name | ALEX ROBERT SCHOLL DPM
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Gender | Male
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 1210 1ST ST W
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City | HASTINGS
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State | MN
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Zip | 55033-1147
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Country | US
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Telephone | 651-438-1800
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Fax | 651-438-1894
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Provider Business Mailing Address
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Address Line | 1210 1ST ST W
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City | HASTINGS
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State | MN
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Zip | 55033-1147
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Country | US
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Telephone | 651-438-1800
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Fax | 651-438-1894
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 890
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 986-025
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 890
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 890
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License Number State | MN
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