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General NPI Number Information
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NPI Number | 1891987178
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Entity Type | Individual
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Provider Name | JASON STEVEN SCHAAL RPH
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Gender | Male
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 12/06/2020
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Provider Practice Location Address
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Address Line | 3175 OLDE POST RD
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City | SAINT LOUIS
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State | MO
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Zip | 63129-3991
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Country | US
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Telephone | 217-412-6296
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Fax |
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Provider Business Mailing Address
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Address Line | 13267 MCDONALD RD
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City | BETHANY
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State | IL
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Zip | 61914-9003
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Country | US
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Telephone | 217-665-3161
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Fax | 217-665-3164
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051040979
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2009027317
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License Number State | MO
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