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General NPI Number Information
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NPI Number | 1336391390
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Entity Type | Organization
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Legal Business Name | LAWRENCE W SCHAPPA M D P C
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 8795 PINE RIDGE DR SUITE B
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City | CADILLAC
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State | MI
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Zip | 49601-9777
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Country | US
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Telephone | 231-779-8100
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Fax | 231-779-8199
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Provider Business Mailing Address
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Address Line | PO BOX 963
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City | CADILLAC
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State | MI
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Zip | 49601-0963
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Country | US
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Telephone | 231-775-0374
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Fax | 231-775-0027
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE W SCHAPPA
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Credential | M D
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Telephone | 231-779-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 4301051682
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License Number State | MI
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