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General NPI Number Information
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NPI Number | 1235133059
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Entity Type | Individual
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Provider Name | GRETCHEN KARR SCHABER NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 77 W FOREST AVE STE 302
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-1481
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Country | US
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Telephone | 928-214-0470
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Fax | 928-214-0477
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Provider Business Mailing Address
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Address Line | PO BOX 1907
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City | FLAGSTAFF
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State | AZ
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Zip | 86002-1907
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Country | US
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Telephone | 928-774-5533
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Fax | 928-774-7366
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN055253
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License Number State | AZ
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