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General NPI Number Information
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NPI Number | 1225363559
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Entity Type | Individual
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Provider Name | JOSEPH DENNIS SCHROEDER R.P.A.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 10/05/2009
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Provider Practice Location Address
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Address Line | 200 ARIZONA AVE NE
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City | ATLANTA
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State | GA
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Zip | 30307-2299
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Country | US
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Telephone | 678-904-6820
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Fax | 678-904-6824
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Provider Business Mailing Address
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Address Line | 200 ARIZONA AVE NE
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City | ATLANTA
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State | GA
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Zip | 30307-2299
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Country | US
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Telephone | 678-904-6820
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Fax | 678-904-6824
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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 | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number | 05IN1171
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License Number State |
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