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General NPI Number Information
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NPI Number | 1821366535
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Entity Type | Organization
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Legal Business Name | PETER E SCHAFFER DPM
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 600 N OLD WOODWARD AVE SUITE 202
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1324
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Country | US
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Telephone | 248-594-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N OLD WOODWARD AVE SUITE 202
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1324
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Country | US
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Telephone | 248-594-3338
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. PETER E SCHAFFER
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Credential | DPM
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Telephone | 248-594-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5901000620
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License Number State | MI
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