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General NPI Number Information
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NPI Number | 1285811539
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Entity Type | Individual
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Provider Name | JOEL A. SCHNEIDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 120 S FOX MILL LN
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City | SPRINGFIELD
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State | IL
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Zip | 62712-9520
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Country | US
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Telephone | 217-553-1990
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Fax | 217-585-0315
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Provider Business Mailing Address
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Address Line | 120 S FOX MILL LN
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City | SPRINGFIELD
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State | IL
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Zip | 62712-9520
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Country | US
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Telephone | 217-553-1990
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | IL
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