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General NPI Number Information
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NPI Number | 1023164308
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Entity Type | Individual
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Provider Name | KATHIE SCHOFIELD LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 2265 LIVERNOIS RD SUITE 260
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City | TROY
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State | MI
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Zip | 48083-1633
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Country | US
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Telephone | 313-658-7225
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Fax |
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Provider Business Mailing Address
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Address Line | 1702 CARDINAL RDG
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48324-3423
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Country | US
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Telephone | 313-658-7225
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801084742
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704241766
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License Number State | MI
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