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General NPI Number Information
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NPI Number | 1851560288
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Entity Type | Organization
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Legal Business Name | CRAIG S SCHEIN DPM
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 331 SUMMER ST
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City | ST JOHNSBURY
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State | VT
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Zip | 05819
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Country | US
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Telephone | 802-748-9400
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Fax | 802-748-9010
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Provider Business Mailing Address
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Address Line | 331 SUMMER ST
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City | ST JOHNSBURY
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State | VT
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Zip | 05819
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Country | US
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Telephone | 802-748-9400
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Fax | 802-748-9010
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG S SCHEIN
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Credential | DPM
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Telephone | 802-748-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0560000178
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License Number State | VT
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