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General NPI Number Information
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NPI Number | 1659652204
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Entity Type | Individual
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Provider Name | LOYD FRANKLIN SCHMUCKLEY JR. R.PH.
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Gender | Male
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 2180 WOODLAKE DR
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City | UKIAH
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State | CA
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Zip | 95482-3657
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Country | US
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Telephone | 707-472-0112
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Fax | 707-472-0112
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Provider Business Mailing Address
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Address Line | 2180 WOODLAKE DR
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City | UKIAH
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State | CA
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Zip | 95482-3657
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Country | US
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Telephone | 707-472-0112
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Fax | 707-472-0112
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH37317
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1108
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0006857
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License Number State | OR
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