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General NPI Number Information
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NPI Number | 1205212107
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Entity Type | Individual
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Provider Name | MICHELLE LYNN SCHORN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 2600 65TH AVE
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City | OSCEOLA
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State | WI
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Zip | 54020-4370
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Country | US
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Telephone | 715-294-2111
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Fax | 715-294-5758
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Provider Business Mailing Address
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Address Line | 2600 65TH AVE
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City | OSCEOLA
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State | WI
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Zip | 54020-4370
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Country | US
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Telephone | 715-294-2111
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Fax | 715-294-5758
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP 4028
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R1530689
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7274
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License Number State | WI
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