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General NPI Number Information
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NPI Number | 1205383528
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Entity Type | Organization
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Legal Business Name | CAMILLE SCHINDLER
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 541 ATHOL AVE
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City | OAKLAND
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State | CA
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Zip | 94606-1507
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Country | US
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Telephone | 707-318-0423
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Fax |
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Provider Business Mailing Address
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Address Line | 1736 16TH ST UNIT D
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City | OAKLAND
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State | CA
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Zip | 94607-1546
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Country | US
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Telephone | 707-318-0423
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST AND HERBALIST
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Name | MISS CAMILLE ELISA SCHINDLER
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Credential | L.AC.
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Telephone | 707-318-0423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 17091
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License Number State | CA
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