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General NPI Number Information
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NPI Number | 1235048299
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Entity Type | Individual
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Provider Name | KRISTEN GABRIELLE SCHRADER
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 555 WALNUT ST STE 150
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City | CHATTANOOGA
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State | TN
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Zip | 37402-1314
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Country | US
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Telephone | 423-553-5530
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Fax |
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Provider Business Mailing Address
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Address Line | 8537 RICARDO LN
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City | HIXSON
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State | TN
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Zip | 37343-1577
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Country | US
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Telephone | 423-664-2581
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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 | BCAB2752957
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License Number State | TN
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