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General NPI Number Information
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NPI Number | 1780878454
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Entity Type | Organization
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Legal Business Name | DR. DONALD J. SCHNEEKLOTH, D.P.M.
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 797 WINNECONNE AVE.
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City | NEENAH
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State | WI
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Zip | 54956
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Country | US
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Telephone | 920-722-0842
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Fax | 920-722-6174
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Provider Business Mailing Address
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Address Line | 797 WINNECONNE AVE.
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City | NEENAH
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State | WI
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Zip | 54956
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Country | US
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Telephone | 920-722-0842
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Fax | 920-722-6174
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD J SCHNEEKLOTH
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Credential | D.P.M
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Telephone | 920-722-0842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 551
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License Number State | WI
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