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General NPI Number Information
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NPI Number | 1700114725
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Entity Type | Individual
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Provider Name | DAVID LOUIS SCHENKAR MD
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Gender | Male
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 12/02/2009
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Provider Practice Location Address
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Address Line | 110 E GULCH RD
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City | HAILEY
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State | ID
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Zip | 83333-8496
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Country | US
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Telephone | 208-788-9337
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Fax | 208-788-8242
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Provider Business Mailing Address
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Address Line | 110 E GULCH RD
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City | HAILEY
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State | ID
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Zip | 83333-8496
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Country | US
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Telephone | 208-788-9337
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Fax | 208-788-8242
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 8906
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License Number State | ID
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