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General NPI Number Information
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NPI Number | 1134754146
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Entity Type | Organization
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Legal Business Name | JANE M SCHNEIDER PHD INC
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 2717 N GRANDVIEW BLVD
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City | WAUKESHA
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State | WI
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Zip | 53188-1672
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Country | US
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Telephone | 262-893-8155
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 N GRANDVIEW BLVD STE 204
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City | WAUKESHA
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State | WI
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Zip | 53188-1660
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Country | US
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Telephone | 262-399-0422
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANE MARIE SCHNEIDER
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Credential |
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Telephone | 262-399-0422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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