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General NPI Number Information
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NPI Number | 1811229859
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Entity Type | Organization
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Legal Business Name | DALE SCHELL OD PLLC
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 2501 S MARKET ST
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City | GILBERT
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State | AZ
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Zip | 85295-1300
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Country | US
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Telephone | 480-224-6917
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Fax | 480-224-6919
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Provider Business Mailing Address
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Address Line | 3759 E PHELPS ST
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City | GILBERT
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State | AZ
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Zip | 85295-7226
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DALE SCHELL
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Credential |
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Telephone | 480-370-6914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1368
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License Number State | AZ
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