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General NPI Number Information
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NPI Number | 1447888763
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Entity Type | Individual
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Provider Name | ALEX MILES SCHAEFFER DPM
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 143 JOE KNOX AVE STE 100
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City | MOORESVILLE
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State | NC
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Zip | 28117-9244
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Country | US
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Telephone | 704-662-3660
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Fax | 704-662-3595
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Provider Business Mailing Address
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Address Line | 143 JOE KNOX AVE STE 100
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City | MOORESVILLE
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State | NC
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Zip | 28117-9244
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Country | US
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Telephone | 704-662-3660
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Fax | 704-662-3595
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 824
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License Number State | NC
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