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NPI 1609878701

NPI 1609878701 : ANTHONY H SCHAFFER OD : SEBRING, FL

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General NPI Number Information
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    NPI Number           |    1609878701
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY H SCHAFFER OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/02/2005
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    Last Update Date     |    10/16/2013
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Provider Practice Location Address
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    Address Line         |    3525 US HWY 27 N 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33870-1640
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    Country              |    US
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    Telephone            |    863-471-1413
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    Fax                  |    863-471-1416
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Provider Business Mailing Address
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    Address Line         |    3810 DIVOT RD 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33872-1276
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    Country              |    US
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    Telephone            |    863-471-1413
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    Fax                  |    863-471-1416
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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       |    V00567
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OPC3395
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    License Number State |    FL
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