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General NPI Number Information
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NPI Number | 1912188988
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Entity Type | Organization
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Legal Business Name | KIM P. SCHERSCHEL M.D. FAAFP
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 2424 Q ST
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City | BEDFORD
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State | IN
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Zip | 47421-4734
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Country | US
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Telephone | 812-279-4477
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Fax | 812-275-0088
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Provider Business Mailing Address
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Address Line | 2424 Q ST
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City | BEDFORD
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State | IN
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Zip | 47421-4734
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Country | US
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Telephone | 812-279-4477
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Fax | 812-275-0088
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIM PETER SCHERSCHEL
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Credential | M.D.
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Telephone | 812-279-4477
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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 | IN1032022
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License Number State | IN
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