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General NPI Number Information
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NPI Number | 1851559280
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Entity Type | Organization
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Legal Business Name | S JEROME SCHNALL DPM
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 2025 E STATE ST
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City | HERMITAGE
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State | PA
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Zip | 16148-1868
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Country | US
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Telephone | 724-981-4681
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 E STATE ST
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City | HERMITAGE
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State | PA
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Zip | 16148-1868
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Country | US
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Telephone | 724-981-4681
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Fax |
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Authorized Official
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Title or Position | OWNER/PODIATRIST
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Name | DR. S JEROME SCHNALL
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Credential | DPM
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Telephone | 724-981-4681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC001794L
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License Number State | PA
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