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General NPI Number Information
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NPI Number | 1275415929
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Entity Type | Individual
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Provider Name | BRETT SCHAEUBLE
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Gender | Male
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 8126 S MINGO RD STE 105
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City | TULSA
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State | OK
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Zip | 74133-4578
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Country | US
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Telephone | 920-851-6820
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Fax |
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Provider Business Mailing Address
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Address Line | 505 E 2ND ST APT 1334
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City | TULSA
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State | OK
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Zip | 74120-1829
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Country | US
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Telephone | 920-851-6820
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8110
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License Number State | OK
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