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General NPI Number Information
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NPI Number | 1265841845
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Entity Type | Individual
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Provider Name | MARY EUGENE SCHWERING FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 10/05/2024
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Provider Practice Location Address
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Address Line | 2665 DRIFTWOOD DR
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City | TITUSVILLE
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State | FL
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Zip | 32780-5912
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Country | US
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Telephone | 641-895-2311
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Fax |
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Provider Business Mailing Address
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Address Line | 2665 DRIFTWOOD DR
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City | TITUSVILLE
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State | FL
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Zip | 32780-5912
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Country | US
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Telephone | 641-895-2311
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G124200
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN9642285
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License Number State | FL
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