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General NPI Number Information
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NPI Number | 1124423355
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Entity Type | Individual
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Provider Name | AMANDA SCHNORF PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 2824 W RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14626-1639
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Country | US
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Telephone | 585-371-8373
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Fax | 716-831-1065
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Provider Business Mailing Address
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Address Line | 100 BIG RIDGE RD APARTMENT B
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City | SPENCERPORT
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State | NY
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Zip | 14559-1265
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Country | US
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Telephone | 413-519-9973
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 017889
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License Number State | NY
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