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NPI 1215269584

NPI 1215269584 : KARI LOUISE SCHOENFISH MS, ATC : BLAIR, NE

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General NPI Number Information
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    NPI Number           |    1215269584
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    Entity Type          |    Individual 
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    Provider Name        |    KARI LOUISE SCHOENFISH MS, ATC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/11/2010
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    Last Update Date     |    02/11/2010
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Provider Practice Location Address
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    Address Line         |    440 N 10TH ST 
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    City                 |    BLAIR
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    State                |    NE
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    Zip                  |    68008-1722
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    Country              |    US
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    Telephone            |    402-427-2777
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1265 N 10TH ST APT 203 
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    City                 |    BLAIR
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    State                |    NE
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    Zip                  |    68008-2741
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    Country              |    US
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    Telephone            |    402-278-0822
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    Fax                  |    402-426-4998
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    495
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    License Number State |    NE
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