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General NPI Number Information
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NPI Number | 1609938414
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER B SCHOOLEY DO, PC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19460 GRAND RIVER AVE
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City | DETROIT
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State | MI
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Zip | 48223-1200
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Country | US
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Telephone | 313-387-1047
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 673400
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City | DETROIT
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State | MI
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Zip | 48267-0001
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Country | US
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Telephone | 734-462-0340
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Fax | 734-462-0344
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER B SCHOOLEY
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Credential | DO
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Telephone | 313-387-1047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 5101010057
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License Number State | MI
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