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General NPI Number Information
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NPI Number | 1659323103
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Entity Type | Individual
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Provider Name | CYRIL J SCHAEFER ARNP
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 401 W PENNSYLVANIA ST
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City | ANACONDA
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State | MT
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Zip | 59711-1931
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Country | US
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Telephone | 406-563-8686
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Fax | 406-563-8691
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Provider Business Mailing Address
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Address Line | 401 W PENNSYLVANIA ST
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City | ANACONDA
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State | MT
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Zip | 59711-1931
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Country | US
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Telephone | 406-563-8686
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Fax | 406-563-8691
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN21373
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License Number State | MT
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