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General NPI Number Information
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NPI Number | 1245292812
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Entity Type | Individual
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Provider Name | LOUISE E SCHOTTSTAEDT MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 1925 E ORMAN SUITE 440
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City | PUEBLO
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State | CO
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Zip | 81004
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Country | US
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Telephone | 719-560-4744
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Fax | 719-560-4770
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Provider Business Mailing Address
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Address Line | 1925 E ORMAN SUITE 440
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City | PUEBLO
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State | CO
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Zip | 81004
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Country | US
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Telephone | 719-560-4744
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Fax | 719-560-4770
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 27483
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License Number State | CO
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