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General NPI Number Information
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NPI Number | 1538622667
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Entity Type | Individual
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Provider Name | PAUL BRADLEY SCHROEDER MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2019
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 7887 WOLF RIVER BLVD
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City | GERMANTOWN
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State | TN
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Zip | 38138-1718
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Country | US
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Telephone | 610-823-9276
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Fax |
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Provider Business Mailing Address
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Address Line | 7887 WOLF RIVER BLVD
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City | GERMANTOWN
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State | TN
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Zip | 38138-1718
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Country | US
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Telephone | 108-239-2766
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 32883
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 0000070371
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License Number State | TN
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