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General NPI Number Information
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NPI Number | 1295625937
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Entity Type | Individual
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Provider Name | MICHAEL A SCHOCH
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Gender | Male
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 853 MEDICAL DR
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City | WENTZVILLE
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State | MO
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Zip | 63385-3823
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Country | US
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Telephone | 636-327-7251
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Fax |
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Provider Business Mailing Address
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Address Line | 911 HAMPSHIRE HEATH DR
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City | O FALLON
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State | MO
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Zip | 63368-8367
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Country | US
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Telephone | 636-544-6162
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2002002130
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License Number State | MO
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