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General NPI Number Information
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NPI Number | 1043250889
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Entity Type | Individual
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Provider Name | DIANE CHRISTINE SCHOEN CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 740 N MACOMB ST
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City | MONROE
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State | MI
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Zip | 48162-7813
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Country | US
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Telephone | 734-240-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 24331 SUN AIR BLVD
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City | PERRYSBURG
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State | OH
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Zip | 43551-9485
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Country | US
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Telephone | 419-874-6571
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 232785
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4704215426
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License Number State | MI
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