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General NPI Number Information
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NPI Number | 1356928113
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Entity Type | Individual
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Provider Name | GEORGE FREDERICK SCHIEDER IV DMD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 34302 EUCLID AVE
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-3334
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Country | US
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Telephone | 440-722-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 266 OLD RIVER RD
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City | MAYS LANDING
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State | NJ
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Zip | 08330-1642
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Country | US
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Telephone | 609-335-0614
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.026600
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License Number State | OH
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