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General NPI Number Information
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NPI Number | 1861464398
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Entity Type | Individual
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Provider Name | DALE ROTH SCHURLE MD
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 8600 NICOLLET AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55420-2824
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Country | US
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Telephone | 952-541-2800
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Fax | 952-886-7015
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Provider Business Mailing Address
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Address Line | 8600 NICOLLET AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55420-2824
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Country | US
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Telephone | 952-541-2800
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Fax | 952-886-7015
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30518
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License Number State | MN
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