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General NPI Number Information
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NPI Number | 1497804181
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Entity Type | Organization
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Legal Business Name | EARL C. SCHEIDLER ,DO., INC.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 11043 MAIN ST
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City | CINCINNATI
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State | OH
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Zip | 45241-2678
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Country | US
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Telephone | 513-563-6222
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Fax | 513-563-2476
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Provider Business Mailing Address
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Address Line | 11043 MAIN ST
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City | CINCINNATI
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State | OH
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Zip | 45241-2678
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Country | US
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Telephone | 513-563-1737
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Fax | 513-563-2476
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH S SCHEIDLER
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Credential | D.O.
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Telephone | 513-563-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | AS2790930
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | AS2790930
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AS2790930
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License Number State | OH
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