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General NPI Number Information
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NPI Number | 1871740233
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Entity Type | Organization
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Legal Business Name | KEVIN T. SCHLAMP, MD, LLC
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 921 1ST AVE
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City | SULPHUR
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State | LA
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Zip | 70663-3424
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Country | US
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Telephone | 337-527-6385
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Fax | 337-527-3527
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Provider Business Mailing Address
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Address Line | 921 1ST AVE
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City | SULPHUR
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State | LA
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Zip | 70663-3424
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Country | US
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Telephone | 337-527-6385
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Fax | 337-527-3527
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. KEVIN THOMAS SCHLAMP
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Credential | MD
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Telephone | 337-527-6385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10408R
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License Number State | LA
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