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General NPI Number Information
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NPI Number | 1659444560
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Entity Type | Organization
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Legal Business Name | DR GENE B SCHNEIDER PC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1245 SHERMAN ST
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City | STURGIS
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State | SD
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Zip | 57785-2579
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Country | US
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Telephone | 605-347-2509
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Fax | 605-347-2500
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Provider Business Mailing Address
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Address Line | 1245 SHERMAN ST
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City | STURGIS
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State | SD
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Zip | 57785-2579
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Country | US
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Telephone | 605-347-2509
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Fax | 605-347-2500
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GENE B SCHNEIDER
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Credential | DDS
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Telephone | 605-347-2509
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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 | M695
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License Number State | SD
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