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General NPI Number Information
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NPI Number | 1639376221
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Entity Type | Organization
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Legal Business Name | SCHUSSLER FOOTCARE CENTERS, PLC
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 12/20/2012
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Provider Practice Location Address
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Address Line | 1762 MEMORIAL DR
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City | CLARKSVILLE
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State | TN
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Zip | 37043-4562
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Country | US
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Telephone | 931-552-3338
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Fax | 931-647-4358
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Provider Business Mailing Address
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Address Line | 1762 MEMORIAL DR
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City | CLARKSVILLE
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State | TN
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Zip | 37043-4562
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Country | US
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Telephone | 931-552-3338
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Fax | 931-647-4358
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. JACALYN S SCHUSSLER
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Credential |
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Telephone | 931-552-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0305
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License Number State | TN
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