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General NPI Number Information
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NPI Number | 1508938333
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Entity Type | Individual
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Provider Name | ERIC JOSEPH SCHAEFER PT
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 12410 E SINTO AVE STE. 203
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-2199
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Country | US
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Telephone | 509-927-7827
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Fax | 509-928-7556
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Provider Business Mailing Address
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Address Line | 4631 WHITMAN LN SE STE D
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City | LACEY
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State | WA
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Zip | 98513-2250
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Country | US
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Telephone | 509-255-9646
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00008807
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License Number State | WA
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