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1265322689 NPI number — OLIVIA MAE SCHNEIDER PHARMD

NPI Number: 1265322689
Health Care Provider/Practitioner: OLIVIA MAE SCHNEIDER PHARMD

Information about “1265322689” NPI (OLIVIA MAE SCHNEIDER PHARMD) exists in 1265322689 in HTML format HTML  |  1265322689 in plain Text format TXT  |  1265322689 in PDF (Portable Document Format) PDF  |  1265322689 in an XML format XML  formats.

NPI Number : 1265322689 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265322689",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHNEIDER",
    "FirstName": "OLIVIA",
    "MiddleName": "MAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BOELK",
    "OtherFirstName": "OLIVIA",
    "OtherMiddleName": "MAE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "523 N MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MAYVILLE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53050-1226",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-427-1669",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "377 N ROLLING MEADOWS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FOND DU LAC",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54937-9726",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-427-1669",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/07/2025",
    "LastUpdateDate": "07/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "23036-40",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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