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General NPI Number Information
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NPI Number | 1740596774
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Entity Type | Organization
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Legal Business Name | WALTER C SCHAEFER MD PA
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 560 RIVERSIDE DR B-102
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City | SALISBURY
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State | MD
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Zip | 21801-4700
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Country | US
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Telephone | 410-546-2847
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Fax | 410-860-9233
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Provider Business Mailing Address
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Address Line | 560 RIVERSIDE DR B-102
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City | SALISBURY
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State | MD
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Zip | 21801-4700
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Country | US
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Telephone | 410-546-2847
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Fax | 410-860-9233
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALERIE SCHAEFER
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Credential |
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Telephone | 410-546-2847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | D0013191
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License Number State | MD
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