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General NPI Number Information
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NPI Number | 1346205648
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Entity Type | Individual
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Provider Name | MATTHEW E. SCHAEFER D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 18707 HARDY OAK BLVD STE 530
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4791
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Country | US
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Telephone | 210-495-8280
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Fax | 210-481-3116
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Provider Business Mailing Address
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Address Line | 7142 SAN PEDRO AVE SUITE 120
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City | SAN ANTONIO
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State | TX
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Zip | 78216-6254
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Country | US
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Telephone | 210-661-5622
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Fax | 210-395-4012
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2003022259
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | M5487
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License Number State | TX
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