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General NPI Number Information
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NPI Number | 1407087224
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Entity Type | Organization
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Legal Business Name | DANIEL D. SCHRADER, M.D. P.L.L.C.
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 704 W GROVE ST SUITE 7
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City | EL DORADO
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State | AR
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Zip | 71730-4416
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Country | US
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Telephone | 870-864-6700
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Fax | 870-864-6704
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Provider Business Mailing Address
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Address Line | 704 W GROVE ST SUITE 7
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City | EL DORADO
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State | AR
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Zip | 71730-4416
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Country | US
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Telephone | 870-864-6700
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Fax | 870-864-6704
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL D SCHRADER
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Credential | MD
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Telephone | 870-864-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | E3620
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License Number State | AR
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