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General NPI Number Information
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NPI Number | 1326652546
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Entity Type | Individual
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Provider Name | EVA SCHILDHAUSE
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Gender | Female
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 9250 SW 136TH STREET CIR
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City | MIAMI
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State | FL
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Zip | 33176-5824
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Country | US
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Telephone | 904-651-9475
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 ARLINGTON EXPY STE B105 PMB2352
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5824
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Country | US
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Telephone | 904-651-9475
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW17261
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License Number State | FL
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