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General NPI Number Information
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NPI Number | 1679561963
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Entity Type | Individual
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Provider Name | CHARLES ROBERT SCHLEIFER MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE SUITE 130 MEDICAL BUILDING WEST
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-649-1175
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Fax | 610-664-8561
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Provider Business Mailing Address
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Address Line | 100 E LANCASTER AVE SUITE 130 MEDICAL BUILDING WEST
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-649-8089
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Fax | 610-649-2933
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD012672E
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License Number State | PA
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