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General NPI Number Information
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NPI Number | 1477724904
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Entity Type | Organization
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Legal Business Name | MICHAEL D. SCHALL, OD, PA
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 1415 REMOUNT RD
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City | N CHARLESTON
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State | SC
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Zip | 29406-3326
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Country | US
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Telephone | 843-554-7554
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Fax | 843-554-7550
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Provider Business Mailing Address
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Address Line | 1415 REMOUNT RD
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City | N CHARLESTON
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State | SC
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Zip | 29406-3326
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Country | US
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Telephone | 843-554-7554
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Fax | 843-554-7550
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL D SCHALL
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Credential | OD
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Telephone | 843-554-7554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 524
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License Number State | SC
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