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General NPI Number Information
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NPI Number | 1740359736
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Entity Type | Individual
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Provider Name | JOHN SCHAAF SHELDON R.PH
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1173 W MAIN ST
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City | WHITEWATER
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State | WI
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Zip | 53190-1672
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Country | US
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Telephone | 262-473-5087
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Fax |
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Provider Business Mailing Address
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Address Line | W4975 COUNTY ROAD B
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City | FONTANA
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State | WI
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Zip | 53125-1752
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Country | US
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Telephone | 262-275-2341
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Fax |
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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 | 11191-040
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License Number State | WI
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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 | 8590
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License Number State | NE
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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 |
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License Number State | IL
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