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General NPI Number Information
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NPI Number | 1831780436
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Entity Type | Organization
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Legal Business Name | DANIEL SCHAEFFLER DMD LLC
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 11/26/2021
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Provider Practice Location Address
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Address Line | 8016 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128-3056
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Country | US
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Telephone | 609-668-9920
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Fax |
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Provider Business Mailing Address
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Address Line | 218 SHARROW VALE RD
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City | DELRAN
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State | NJ
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Zip | 08075-1926
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Country | US
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Telephone | 609-668-9920
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DANIEL SCHAEFFLER
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Credential | DMD
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Telephone | 609-668-9920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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