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General NPI Number Information
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NPI Number | 1265621718
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Entity Type | Individual
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Provider Name | PETER D SCHUMAKER M.A., LPC
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Gender | Male
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 6633 WISE AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63139-3725
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Country | US
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Telephone | 314-246-0560
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Fax | 888-717-4730
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Provider Business Mailing Address
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Address Line | 6633 WISE AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63139-3725
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Country | US
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Telephone | 314-246-0560
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Fax | 888-717-4730
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2008034939
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License Number State | MO
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