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General NPI Number Information
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NPI Number | 1033212535
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Entity Type | Individual
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Provider Name | KAROLYN JEAN SCHAEFER RN
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6349 MAIN STREET
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City | CUBA
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State | NM
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Zip | 87013
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Country | US
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Telephone | 505-289-3291
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Fax | 505-289-3648
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Provider Business Mailing Address
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Address Line | PO BOX 121 18 CAMINO GURULE
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City | LA JARA
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State | NM
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Zip | 87027-0121
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Country | US
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Telephone | 505-289-0096
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Fax | 505-289-3648
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R36351
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License Number State | NM
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