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General NPI Number Information
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NPI Number | 1801276142
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Entity Type | Organization
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Legal Business Name | DR SUZANNE SCHAFER PLLC
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 1005 S BROADWAY ST
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City | LA PORTE
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State | TX
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Zip | 77571-5327
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Country | US
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Telephone | 812-941-4174
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Fax | 281-470-0313
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Provider Business Mailing Address
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Address Line | PO BOX 1383
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City | LA PORTE
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State | TX
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Zip | 77572-1383
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Country | US
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Telephone | 281-941-4174
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Fax | 281-470-0313
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Authorized Official
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Title or Position | OWNER
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Name | SUZANNE MARIE SCHAFER
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Credential | DO
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Telephone | 281-703-6618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State |
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