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General NPI Number Information
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NPI Number | 1588658595
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Entity Type | Individual
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Provider Name | RONALD T SCHREIBER MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 2600 S HERITAGE WOODS DR
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City | APPLETON
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State | WI
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Zip | 54915-1408
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Country | US
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Telephone | 920-225-7875
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Fax | 920-993-5003
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Provider Business Mailing Address
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Address Line | PO BOX 8003
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City | APPLETON
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State | WI
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Zip | 54912-8003
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Country | US
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Telephone | 920-996-3200
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Fax | 920-738-5787
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30497
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 30497
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License Number State | WI
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