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General NPI Number Information
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NPI Number | 1003290883
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Entity Type | Individual
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Provider Name | RENEE M SCHNUPP PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/12/2015
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 7580 NORTHCLIFF AVE STE 1000
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City | BROOKLYN
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State | OH
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Zip | 44144-3271
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Country | US
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Telephone | 440-808-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 850 COLUMBIA RD STE 200
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City | WESTLAKE
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State | OH
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Zip | 44145-7215
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Country | US
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Telephone | 440-808-1212
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Fax | 440-808-2060
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.004385
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License Number State | OH
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