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General NPI Number Information
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NPI Number | 1457331787
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Entity Type | Individual
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Provider Name | ROBERT I. SCHAFFER M.D.1
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 5000 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44484-2259
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Country | US
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Telephone | 330-856-2212
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Fax | 330-856-2668
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Provider Business Mailing Address
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Address Line | 8560 BAYBERRY DR NE
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City | WARREN
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State | OH
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Zip | 44484-1609
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Country | US
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Telephone | 330-856-5244
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Fax | 330-856-4601
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35038355
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License Number State | OH
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