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General NPI Number Information
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NPI Number | 1629628268
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Entity Type | Organization
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Legal Business Name | STEVEN SCHNOLL DDS SC
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 8606 W WRIGHT ST
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City | WAUWATOSA
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State | WI
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Zip | 53226-1942
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Country | US
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Telephone | 414-588-1365
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Fax |
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Provider Business Mailing Address
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Address Line | 8606 W WRIGHT ST
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City | WAUWATOSA
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State | WI
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Zip | 53226-1942
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Country | US
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Telephone | 414-588-1365
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN SCHNOLL
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Credential | DDS
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Telephone | 414-588-1365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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