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General NPI Number Information
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NPI Number | 1548394158
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Entity Type | Individual
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Provider Name | MR. SCOTT ANTHONY SCHAUER
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 318 HEAD WATER WAY 1309 KEMPSVILLE RD
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City | NORFOLK
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State | VA
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Zip | 23502
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Country | US
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Telephone | 757-558-2044
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Fax |
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Provider Business Mailing Address
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Address Line | 318 HEAD WATER WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23323-0829
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Country | US
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Telephone | 757-558-2044
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119001858
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License Number State | VA
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