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General NPI Number Information
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NPI Number | 1982096699
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Entity Type | Organization
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Legal Business Name | DR. JOHN C. SCHUSTER
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 8345 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44484-2376
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Country | US
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Telephone | 330-609-5534
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Fax | 330-609-5534
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Provider Business Mailing Address
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Address Line | 8345 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44484-2376
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Country | US
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Telephone | 330-609-5534
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Fax | 330-609-5534
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN CASPER SCHUSTER
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Credential |
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Telephone | 330-609-5534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.021287
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License Number State | OH
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