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General NPI Number Information
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NPI Number | 1245405513
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Entity Type | Organization
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Legal Business Name | JEFFREY P SCHACHNE MD
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 3630 HILL BLVD SUITE 101
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City | JEFFERSON VALLEY
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State | NY
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Zip | 10535-1502
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Country | US
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Telephone | 914-962-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 3630 HILL BLVD SUITE 101
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City | JEFFERSON VALLEY
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State | NY
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Zip | 10535-1502
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Country | US
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Telephone | 914-962-6222
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY P SCHACHNE
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Credential | MD
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Telephone | 914-962-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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