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General NPI Number Information
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NPI Number | 1740693712
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Entity Type | Organization
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Legal Business Name | SCHAMBER EYE CARE, P.A.
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Dates
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Enumeration Date | 06/08/2014
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Last Update Date | 06/08/2014
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Provider Practice Location Address
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Address Line | 7734 EXCELSIOR RD
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City | BAXTER
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State | MN
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Zip | 56425-8696
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Country | US
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Telephone | 218-829-2929
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Fax | 218-829-4747
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Provider Business Mailing Address
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Address Line | 7734 EXCELSIOR RD
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City | BAXTER
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State | MN
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Zip | 56425-8696
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Country | US
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Telephone | 218-829-2929
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Fax | 218-829-4747
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEL SCHAMBER
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Credential |
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Telephone | 507-828-1027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 2989
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License Number State | MN
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