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General NPI Number Information
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NPI Number | 1952955767
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Entity Type | Individual
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Provider Name | JOHN JOSEPH SCHREIER JR. LPTA
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Gender | Male
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 3815 W BROADWAY AVE
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City | ROBBINSDALE
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State | MN
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Zip | 55422-2207
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Country | US
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Telephone | 612-332-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 1223 LOWRY AVE NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-3829
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Country | US
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Telephone | 701-214-7190
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A2477
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License Number State | MN
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