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General NPI Number Information
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NPI Number | 1598723124
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Entity Type | Individual
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Provider Name | STEPHEN FRANK SCHIFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 320 POMFRET ST CSB 2
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City | PUTNAM
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State | CT
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Zip | 06260-1836
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Country | US
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Telephone | 860-928-6541
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Fax | 860-963-6450
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Provider Business Mailing Address
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Address Line | 320 POMFRET ST CSB 2
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City | PUTNAM
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State | CT
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Zip | 06260-1836
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Country | US
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Telephone | 860-928-6541
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Fax | 860-963-6450
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 28705
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | RI8242
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License Number State | RI
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