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General NPI Number Information
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NPI Number | 1154076362
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Entity Type | Individual
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Provider Name | KALI ALYSSA SCHNEIDER
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Gender | Female
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 531 W GENESEE AVE
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City | SAGINAW
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State | MI
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Zip | 48602-5515
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Country | US
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Telephone | 989-753-2447
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Fax | 989-753-3650
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Provider Business Mailing Address
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Address Line | 6200 DEWHIRST DR
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City | SAGINAW
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State | MI
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Zip | 48638-4305
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Country | US
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Telephone | 989-928-4769
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 5303032563
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License Number State | MI
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