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NPI 1063474708

NPI 1063474708 : SCHLOEMER SERVICES INC : LOUISVILLE, KY

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General NPI Number Information
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    NPI Number           |    1063474708
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCHLOEMER SERVICES INC 
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Dates
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    Enumeration Date     |    04/06/2006
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    Last Update Date     |    05/20/2008
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Provider Practice Location Address
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    Address Line         |    2100 GARDINER LN SUITE 314
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40205-2949
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    Country              |    US
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    Telephone            |    502-640-7533
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    Fax                  |    502-473-1957
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Provider Business Mailing Address
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    Address Line         |    2100 GARDINER LN SUITE 314
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40205-2949
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    Country              |    US
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    Telephone            |    502-640-7533
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    Fax                  |    502-473-1957
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Authorized Official
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    Title or Position    |    PRESIDENT  CEO
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    Name                 |    DR. LEWIS FRED SCHLOEMER 
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    Credential           |    EDD  LCSW
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    Telephone            |    502-640-7533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT0095
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    CADC0408
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    LCSW0307
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    License Number State |    KY
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