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General NPI Number Information
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NPI Number | 1407837362
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Entity Type | Individual
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Provider Name | JOHN CARLYLE SCHLABACH MD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1 HOSPITAL ROAD
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City | GANADO
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State | AZ
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Zip | 86515
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Country | US
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Telephone | 928-755-4632
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Fax | 928-755-4831
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Provider Business Mailing Address
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Address Line | 1507 W MAIN ST
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City | GATESVILLE
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State | TX
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Zip | 76528-1024
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Country | US
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Telephone | 254-865-8251
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M5489
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 24456
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01037080A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD20060005
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01037080A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 24456
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License Number State | AZ
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