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General NPI Number Information
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NPI Number | 1588144794
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Entity Type | Individual
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Provider Name | SAMANTHA SCHIBER OD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 2156 183RD ST
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City | HOMEWOOD
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State | IL
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Zip | 60430-3238
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Country | US
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Telephone | 708-957-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 1460 N SANDBURG TER APT 2110
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City | CHICAGO
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State | IL
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Zip | 60610-1538
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Country | US
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Telephone | 618-797-8802
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046011237
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License Number State | IL
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