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NPI 1134905185

NPI 1134905185 : DAVID SCHNEIDER : LONGWOOD, FL

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General NPI Number Information
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    NPI Number           |    1134905185
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID SCHNEIDER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/06/2023
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    Last Update Date     |    09/06/2023
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Provider Practice Location Address
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    Address Line         |    2290 N RONALD REAGAN BLVD STE 116 
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    City                 |    LONGWOOD
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    State                |    FL
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    Zip                  |    32750-3534
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    Country              |    US
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    Telephone            |    407-215-0095
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10422 CARLSON CIR 
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    City                 |    CLERMONT
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    State                |    FL
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    Zip                  |    34711-7882
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    Country              |    US
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    Telephone            |    
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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        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    
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    License Number State |    
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