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General NPI Number Information
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NPI Number | 1093091241
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Entity Type | Individual
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Provider Name | JOAN SCHANFELD A.N.P. - C.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 101 HOSPITAL RD
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City | PATCHOGUE
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State | NY
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Zip | 11772-4870
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Country | US
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Telephone | 631-687-4001
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Fax | 631-687-4004
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Provider Business Mailing Address
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Address Line | 43 5TH AVE
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City | NORTHPORT
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State | NY
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Zip | 11768-2808
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Country | US
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Telephone | 631-757-0170
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 302767
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 381879
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License Number State | NY
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