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General NPI Number Information
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NPI Number | 1770536872
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Entity Type | Individual
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Provider Name | JOHN D SCHAEFFER D.O
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 900 N ORANGE ST THIRD FLOOR
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City | MISSOULA
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State | MT
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Zip | 59802-2998
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Country | US
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Telephone | 406-327-3379
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Fax | 406-327-3355
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Provider Business Mailing Address
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Address Line | 900 N ORANGE ST THIRD FLOOR
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City | MISSOULA
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State | MT
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Zip | 59802-2998
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Country | US
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Telephone | 406-327-3379
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Fax | 406-327-3355
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 11080
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License Number State | MT
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