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General NPI Number Information
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NPI Number | 1528145588
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Entity Type | Individual
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Provider Name | CHRISTOPHER P SCHACH MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 4375 N. VANTAGE DR. SUITE 305
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4984
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Country | US
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Telephone | 479-443-5100
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Fax | 479-443-5117
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Provider Business Mailing Address
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Address Line | 4375 N. VANTAGE DR. SUITE 305
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4984
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Country | US
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Telephone | 479-443-5100
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Fax | 479-443-5117
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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 | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | E2131
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E2131
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License Number State | AR
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