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General NPI Number Information
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NPI Number | 1205723970
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Entity Type | Individual
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Provider Name | JENNIFER MARIE SCHNEIDER
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1101 N ROYAL AVE STE B
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City | EVANSVILLE
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State | IN
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Zip | 47715-7845
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Country | US
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Telephone | 812-269-5643
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Fax | 502-805-1511
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Provider Business Mailing Address
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Address Line | 90 HOWARD DR
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City | SHELBYVILLE
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State | KY
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Zip | 40065-8138
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-427114
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License Number State | IN
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