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General NPI Number Information
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NPI Number | 1558014647
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Entity Type | Individual
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Provider Name | MAX SPENCER SCHEMER
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Gender | Male
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Dates
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Enumeration Date | 01/30/2022
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Last Update Date | 01/30/2022
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Provider Practice Location Address
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Address Line | 8401 LAKE WORTH RD STE 216
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City | LAKE WORTH
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State | FL
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Zip | 33467-2400
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Country | US
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Telephone | 561-246-7575
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Fax | 561-508-8981
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Provider Business Mailing Address
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Address Line | 132 SHERWOOD DR
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-8259
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Country | US
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Telephone | 561-329-3528
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA27913
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License Number State | FL
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