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NPI 1396802294

NPI 1396802294 : SCOTT MICHAEL SCHREIBER DC : WOODBURY, MN

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General NPI Number Information
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    NPI Number           |    1396802294
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT MICHAEL SCHREIBER DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/02/2007
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    Last Update Date     |    03/13/2018
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Provider Practice Location Address
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    Address Line         |    8360 CITY CENTRE DR STE 120 
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    City                 |    WOODBURY
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    State                |    MN
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    Zip                  |    55125-3381
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    Country              |    US
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    Telephone            |    302-507-6725
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    Fax                  |    651-768-5059
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Provider Business Mailing Address
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    Address Line         |    8360 CITY CENTRE DR STE 120 
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    City                 |    WOODBURY
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    State                |    MN
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    Zip                  |    55125-3381
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    Country              |    US
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    Telephone            |    302-507-6725
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    Fax                  |    651-768-5059
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    F10000606
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    111NR0400X
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    Taxonomy Name        |    Rehabilitation Chiropractor
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    License Number       |    F1-0000606
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    License Number State |    DE
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