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General NPI Number Information
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NPI Number | 1033356837
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Entity Type | Individual
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Provider Name | JEANNE B SCHRAMM NP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 3175 LANCER ST
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City | PORTAGE
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State | IN
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Zip | 46368-4407
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Country | US
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Telephone | 219-762-9571
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 678691
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City | DALLAS
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State | TX
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Zip | 75267-8691
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Country | US
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Telephone | 972-758-3598
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Fax | 972-599-9604
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209008076
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 28135289A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71002802
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License Number State | IN
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