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General NPI Number Information
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NPI Number | 1801894894
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Entity Type | Individual
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Provider Name | GERALD STANLEY SCHOEPFLIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 10000 SE MAIN ST SUITE 132
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City | PORTLAND
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State | OR
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Zip | 97216-2448
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Country | US
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Telephone | 503-255-5187
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Fax |
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Provider Business Mailing Address
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Address Line | 10123SEMARKET ST
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City | PORTLAND
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State | OR
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Zip | 97216-2532
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Country | US
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Telephone | 503-257-2500
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 10465
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License Number State | OR
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