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General NPI Number Information
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NPI Number | 1275686883
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Entity Type | Organization
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Legal Business Name | SCHEIDLER RURAL HEALTH CLINIC, LLC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 301 SOUTH BYP
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City | KENNETT
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State | MO
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Zip | 63857-3252
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Country | US
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Telephone | 573-888-0900
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Fax | 573-888-9588
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Provider Business Mailing Address
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Address Line | 301 SOUTH BYP
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City | KENNETT
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State | MO
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Zip | 63857-3252
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Country | US
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Telephone | 573-888-0900
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Fax | 573-888-9588
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEFAN SCHEIDLER
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Credential | M.D.
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Telephone | 57388808900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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