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General NPI Number Information
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NPI Number | 1891680088
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Entity Type | Individual
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Provider Name | ANSLEY MIDDLETON SCHUEPBACH OD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 6 S 14TH ST
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-3212
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Country | US
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Telephone | 904-261-5741
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Fax |
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Provider Business Mailing Address
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Address Line | 1610 SANDPIPER CT
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City | SAINT MARYS
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State | GA
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Zip | 31558-4187
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Country | US
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Telephone | 912-227-0675
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC6743
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License Number State | FL
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