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General NPI Number Information
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NPI Number | 1114900818
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Entity Type | Individual
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Provider Name | PAULA JEAN SCHALL CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 100 FAIRFIELD DR
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City | SENECA
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State | PA
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Zip | 16346-2130
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Country | US
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Telephone | 814-676-7843
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Fax | 814-676-7838
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Provider Business Mailing Address
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Address Line | 68 SOUTH SERVICE ROAD SUITE 300
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City | MELVILLE
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State | NY
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Zip | 11747-2358
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Country | US
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Telephone | 516-945-3000
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Fax | 516-945-3131
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN261573L
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License Number State | PA
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