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General NPI Number Information
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NPI Number | 1649259110
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Entity Type | Individual
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Provider Name | PAUL HENRY SCHENCK MD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 5239 HAMILTON BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18106-9153
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Country | US
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Telephone | 610-398-2800
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Fax | 610-366-1343
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Provider Business Mailing Address
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Address Line | 201 E LAUREL BLVD
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City | POTTSVILLE
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State | PA
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Zip | 17901-2534
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Country | US
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Telephone | 610-398-2800
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Fax | 610-366-1343
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD017334E
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License Number State | PA
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