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NPI 1689634982

NPI 1689634982 : DANIEL D SCHRADER MD : EL DORADO, AR

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General NPI Number Information
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    NPI Number           |    1689634982
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL D SCHRADER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/23/2006
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    Last Update Date     |    02/24/2025
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Provider Practice Location Address
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    Address Line         |    431 THOMPSON AVE 
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    City                 |    EL DORADO
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    State                |    AR
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    Zip                  |    71730-4553
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    Country              |    US
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    Telephone            |    870-864-6700
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    Fax                  |    870-864-6704
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Provider Business Mailing Address
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    Address Line         |    431 THOMPSON AVE STE 7 
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    City                 |    EL DORADO
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    State                |    AR
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    Zip                  |    71730-4553
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    Country              |    US
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    Telephone            |    870-864-6700
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    Fax                  |    870-864-6704
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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        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    E3620
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    License Number State |    AR
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