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General NPI Number Information
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NPI Number | 1124123294
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Entity Type | Individual
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Provider Name | ANNE MARIE SCHANKE RD LD N
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 05/23/2010
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Provider Practice Location Address
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Address Line | 20889 MORADA CT
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City | BOCA RATON
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State | FL
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Zip | 33433-1714
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Country | US
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Telephone | 561-445-7648
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Fax | 561-487-5479
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Provider Business Mailing Address
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Address Line | 20889 MORADA CT
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City | BOCA RATON
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State | FL
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Zip | 33433-1714
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Country | US
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Telephone | 561-445-7648
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Fax | 561-487-5479
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | ND3246
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License Number State | FL
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