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General NPI Number Information
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NPI Number | 1790173045
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Entity Type | Organization
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Legal Business Name | DRS. SCHREIBER & KELSEY, LLC
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 301 SAINT PAUL ST 712
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City | BALTIMORE
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State | MD
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Zip | 21202-2102
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Country | US
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Telephone | 410-332-9195
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Fax | 410-332-9655
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Provider Business Mailing Address
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Address Line | 301 SAINT PAUL ST
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City | BALTIMORE
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State | MD
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Zip | 21202-2102
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Country | US
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Telephone | 410-332-9195
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Fax | 410-332-9655
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Authorized Official
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Title or Position | GASTROENTEROLOGIST
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Name | DR. JONATHAN BRUCE SCHREIBER
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Credential | M.D.
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Telephone | 410-332-9195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | D32418
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License Number State | MD
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