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Individual
DR. GLEN SCHAFFER
Active
Individual
DR. GLEN SCHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350007311
RR MEDICARE
—
05
—
3806162-00
—
FL
01
—
440696
PCA
—
01
—
593466707
CAC
—
Enumeration date
10/12/2005
Last updated
04/01/2008
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