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General NPI Number Information
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NPI Number | 1194680108
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Entity Type | Individual
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Provider Name | JEAN SCHWARTZ RN, LRD
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 702 LAKE AVE
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City | DETROIT LAKES
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State | MN
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Zip | 56501-3016
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Country | US
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Telephone | 218-844-4181
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Fax | 218-847-1305
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Provider Business Mailing Address
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Address Line | 510 11TH AVE
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City | DETROIT LAKES
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State | MN
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Zip | 56501-2800
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Country | US
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Telephone | 218-844-4181
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Fax | 218-847-1305
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 177575-8
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License Number State | MN
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