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General NPI Number Information
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NPI Number | 1982415147
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Entity Type | Individual
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Provider Name | WILLIAM ALLEN SCHUMACHER DMD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | US DENTAC HEALTH ACTIVITY FORT CAVAZOS 36000 SHOEMAKER LANE, SUITE 1051
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City | FORT CAVAZOS
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State | TX
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Zip | 76544-5054
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Country | US
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Telephone | 254-287-2705
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Fax |
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Provider Business Mailing Address
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Address Line | 5002 THAYER DR APT 624
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City | KILLEEN
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State | TX
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Zip | 76549-7007
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Country | US
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Telephone | 530-510-3673
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 142006289926
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License Number State | UT
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