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General NPI Number Information
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NPI Number | 1427144724
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Entity Type | Organization
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Legal Business Name | ALAN J SCHRAM DPM PC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 6704 PARK AVE
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City | ALLEN PARK
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State | MI
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Zip | 48101-2034
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Country | US
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Telephone | 313-386-7920
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Fax | 313-382-7890
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Provider Business Mailing Address
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Address Line | 6704 PARK AVE
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City | ALLEN PARK
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State | MI
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Zip | 48101-2034
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Country | US
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Telephone | 313-386-7920
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Fax | 313-382-7890
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN J SCHRAM
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Credential | DPM
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Telephone | 313-386-7920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | AS400226
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License Number State | MI
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