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General NPI Number Information
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NPI Number | 1073666400
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Entity Type | Individual
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Provider Name | CLARISSA A SCHOEN LPTA
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 648 OLD MILL RD
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1373
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Country | US
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Telephone | 410-222-3818
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Fax |
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Provider Business Mailing Address
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Address Line | 8389 VINELAND CT
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1481
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Country | US
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Telephone | 410-729-4049
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A1379
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License Number State | MD
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