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General NPI Number Information
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NPI Number | 1982989901
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Entity Type | Organization
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Legal Business Name | DR LUIS G SCHAEFFER & ASSOCIATES PA
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 113 S COLLEGE AVE
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City | CLEVELAND
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State | TX
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Zip | 77327-4501
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Country | US
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Telephone | 281-593-0485
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Fax | 281-432-0563
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Provider Business Mailing Address
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Address Line | PO BOX 328
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City | CLEVELAND
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State | TX
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Zip | 77328-0328
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Country | US
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Telephone | 281-593-0485
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Fax | 281-432-0563
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ANGELICA SCHAEFFER
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Credential |
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Telephone | 281-593-2360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K1050
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License Number State | TX
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