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General NPI Number Information
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NPI Number | 1457654261
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Entity Type | Organization
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Legal Business Name | JEAN H. SCHOTT, M.D., S.C.
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 2209 S MEMORIAL PL
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City | SHEBOYGAN
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State | WI
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Zip | 53081-3715
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Country | US
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Telephone | 920-459-8811
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Fax | 920-459-9871
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Provider Business Mailing Address
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Address Line | 5505 CURTISS DR
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City | SHEBOYGAN
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State | WI
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Zip | 53081-8718
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Country | US
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Telephone | 920-946-4906
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Fax | 920-457-3419
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEAN H SCHOTT
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Credential |
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Telephone | 920-946-4906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 24256
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License Number State | WI
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