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General NPI Number Information
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NPI Number | 1295777423
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Entity Type | Individual
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Provider Name | ROBERT P SCHNEEBERGER DO
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 1314 E APPLE AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-3759
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Country | US
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Telephone | 231-777-2568
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Fax | 231-773-4310
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Provider Business Mailing Address
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Address Line | 726 LAKE DR
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City | MUSKEGON
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State | MI
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Zip | 49445-2831
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Country | US
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Telephone | 231-744-1564
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 5101007020
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License Number State | MI
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