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General NPI Number Information
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NPI Number | 1952521692
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Entity Type | Organization
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Legal Business Name | THOMAS SCHROEPFER, DDS, SC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 3212 CLEVELAND AVE
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City | MARINETTE
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State | WI
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Zip | 54143-3743
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Country | US
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Telephone | 715-735-9490
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Fax | 715-735-9492
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Provider Business Mailing Address
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Address Line | 3212 CLEVELAND AVE
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City | MARINETTE
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State | WI
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Zip | 54143-3743
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Country | US
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Telephone | 715-735-9490
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Fax | 715-735-9492
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CONNIE SCHROEPFER
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Credential |
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Telephone | 715-735-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5001489
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License Number State | WI
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