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General NPI Number Information
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NPI Number | 1982882528
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Entity Type | Organization
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Legal Business Name | CHARLES A. SCHAIBLE, O.D.
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 3601 SW 29TH ST SUITE 205
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City | TOPEKA
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State | KS
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Zip | 66614-2078
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Country | US
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Telephone | 785-272-4583
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 SW 29TH ST SUITE 205
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City | TOPEKA
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State | KS
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Zip | 66614-2078
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Country | US
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Telephone | 785-272-4583
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. CHARLES A. SCHAIBLE
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Credential | O.D.
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Telephone | 785-272-4583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | KS10603
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License Number State | KS
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