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General NPI Number Information
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NPI Number | 1730379231
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Entity Type | Individual
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Provider Name | CHARLES EDWARD SCHLOSSER III MD,M.P.H
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Gender | Male
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 4520 WICHERS DR SUITE 202
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City | MARRERO
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State | LA
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Zip | 70072-3135
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Country | US
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Telephone | 504-324-4337
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Fax | 504-324-5724
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Provider Business Mailing Address
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Address Line | 4520 WICHERS DR SUITE 202
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City | MARRERO
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State | LA
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Zip | 70072-3135
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Country | US
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Telephone | 504-324-4337
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Fax | 504-324-5724
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | MD.026430
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License Number State | LA
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