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NPI 1245230077

NPI 1245230077 : PATRICIA A SCHROEDER F.N.P. : RUTLAND, VT

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General NPI Number Information
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    NPI Number           |    1245230077
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA A SCHROEDER F.N.P.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/22/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    69 ALLEN ST SUITE 4
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    City                 |    RUTLAND
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    State                |    VT
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    Zip                  |    05701-4564
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    Country              |    US
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    Telephone            |    802-775-3314
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    Fax                  |    802-775-9617
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Provider Business Mailing Address
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    Address Line         |    69 ALLEN ST SUITE 1
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    City                 |    RUTLAND
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    State                |    VT
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    Zip                  |    05701-4564
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    Country              |    US
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    Telephone            |    802-775-3315
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    Fax                  |    802-775-9617
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    MS0421797
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    License Number State |    VT
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