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General NPI Number Information
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NPI Number | 1942699723
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Entity Type | Individual
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Provider Name | PAUL JAMES SCHAEFER PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 95 SEA ISLAND PKWY STE 102
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City | BEAUFORT
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State | SC
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Zip | 29907-1499
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Country | US
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Telephone | 843-682-7480
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Fax |
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Provider Business Mailing Address
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Address Line | 989 RIBAUT RD
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City | BEAUFORT
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State | SC
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Zip | 29902-5472
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2268
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MPA.2268 PA
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License Number State | SC
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