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General NPI Number Information
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NPI Number | 1750981601
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Entity Type | Individual
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Provider Name | MICHELLE DENISE SCHIEFER RPH
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 12495 IL HWY 143
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City | HIGHLAND
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State | IL
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Zip | 62249
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Country | US
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Telephone | 618-654-2397
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Fax | 618-654-2399
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Provider Business Mailing Address
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Address Line | PO BOX 274
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City | AVISTON
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State | IL
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Zip | 62216-0274
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Country | US
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Telephone | 618-228-9856
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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 | 051285943
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License Number State | IL
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