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General NPI Number Information
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NPI Number | 1194968701
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Entity Type | Individual
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Provider Name | NIKHILA DEO SCHROEDER M.D., M.ENG.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 300 EAST BLVD STE B4
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City | CHARLOTTE
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State | NC
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Zip | 28203-4890
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Country | US
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Telephone | 704-750-0461
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Fax | 516-403-9233
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Provider Business Mailing Address
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Address Line | 300 EAST BLVD STE B4
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City | CHARLOTTE
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State | NC
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Zip | 28203-4890
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Country | US
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Telephone | 704-750-0461
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Fax | 516-403-9233
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 2017-02476
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 62642-20
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License Number State | WI
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