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General NPI Number Information
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NPI Number | 1841372109
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Entity Type | Individual
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Provider Name | JOHN ALAN SCHACHERL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 105 N MAIN ST
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City | VERONA
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State | WI
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Zip | 53593-1101
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Country | US
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Telephone | 608-845-6127
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Fax | 608-845-8082
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Provider Business Mailing Address
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Address Line | 9018 COLBY RD
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City | MOUNT HOREB
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State | WI
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Zip | 53572-2750
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Country | US
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Telephone | 608-832-6244
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5001623
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License Number State | WI
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