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General NPI Number Information
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NPI Number | 1295005346
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Entity Type | Individual
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Provider Name | MICHAEL JOHN SCHAFER M.S.
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Gender | Male
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 10/16/2015
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Provider Practice Location Address
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Address Line | 2708 NE 14TH ST SUITE 5
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City | POMPANO BEACH
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State | FL
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Zip | 33062-3565
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Country | US
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Telephone | 888-880-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 330 POLK ST
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City | NEW ORLEANS
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State | LA
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Zip | 70124-2925
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Country | US
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Telephone | 404-543-4897
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | L-084
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License Number State | LA
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