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General NPI Number Information
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NPI Number | 1366818866
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Entity Type | Organization
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Legal Business Name | RICHARD SCHOEWE MD, LLC
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 2381 RICE ST
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City | ROSEVILLE
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State | MN
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Zip | 55113-3715
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Country | US
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Telephone | 651-482-9722
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Fax | 651-482-9091
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Provider Business Mailing Address
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Address Line | 2381 RICE ST
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City | ROSEVILLE
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State | MN
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Zip | 55113-3715
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Country | US
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Telephone | 651-482-9722
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Fax | 651-482-9091
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD W SCHOEWE
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Credential | MD
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Telephone | 651-482-9722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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