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General NPI Number Information
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NPI Number | 1043646086
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Entity Type | Individual
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Provider Name | HEIDI MARIE SCHAUSS PT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 671 COLUMBIA RD SUITE 2
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City | WESTLAKE
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State | OH
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Zip | 44145-1477
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Country | US
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Telephone | 440-250-8895
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Fax | 440-250-8854
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Provider Business Mailing Address
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Address Line | 33308 ELECTRIC BLVD
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City | AVON LAKE
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State | OH
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Zip | 44012-1216
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Country | US
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Telephone | 440-933-3858
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 7479
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License Number State | OH
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