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NPI 1295714004

NPI 1295714004 : LORETTA ANN SCHUELER DDS : ELDERSBURG, MD

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General NPI Number Information
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    NPI Number           |    1295714004
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    Entity Type          |    Individual 
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    Provider Name        |    LORETTA ANN SCHUELER DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/10/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1030 LIBERTY RD SUITE 101
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    City                 |    ELDERSBURG
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    State                |    MD
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    Zip                  |    21784-7941
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    Country              |    US
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    Telephone            |    410-552-5230
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    Fax                  |    410-552-5231
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Provider Business Mailing Address
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    Address Line         |    1981 TURNBERRY CT 
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    City                 |    FINKSBURG
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    State                |    MD
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    Zip                  |    21048-1561
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    Country              |    US
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    Telephone            |    612-384-9270
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    Fax                  |    410-861-9027
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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        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    11742
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    License Number State |    MD
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