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General NPI Number Information
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NPI Number | 1982088811
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Entity Type | Organization
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Legal Business Name | JAMES SCHAEFFER PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 1001 PARTRIDGE DR STE 210
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City | VENTURA
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State | CA
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Zip | 93003-0716
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Country | US
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Telephone | 805-644-9501
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Fax | 805-644-1108
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Provider Business Mailing Address
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Address Line | 1001 PARTRIDGE DR STE 210
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City | VENTURA
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State | CA
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Zip | 93003-0716
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Country | US
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Telephone | 805-644-9501
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Fax | 805-644-1108
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES P SCHAEFFER
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Credential | D.D.S.
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Telephone | 805-644-9501
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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 | 43855
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License Number State | CA
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