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NPI Code Detail

MEDICARE: MADISON SCHAFFER

MEDICARE: MADISON SCHAFFER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2204000564VA

General Provider Information

NPI Number : 1972115301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON SCHAFFER
Provider Business Mailing Address
First Line : 401 N ARTHUR ASHE BLVD APT 6
Second Line :
City : RICHMOND
State : VA
Zip : 23220-3328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3021 MAPLEWOOD AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23221-3507
Country : US
Telephone Number : 804-780-6252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2020
Last Update Date : 08/18/2020

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Directions to “ MADISON SCHAFFER ” Practice Location

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