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NPI 1346717691

NPI 1346717691 : KAREN VERA SCHIFF : SYRACUSE, NY

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General NPI Number Information
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    NPI Number           |    1346717691
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN VERA SCHIFF
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/25/2018
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    Last Update Date     |    10/25/2018
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Provider Practice Location Address
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    Address Line         |    750 E ADAMS ST RM 222 
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    City                 |    SYRACUSE
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    State                |    NY
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    Zip                  |    13210-2306
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    Country              |    US
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    Telephone            |    315-464-1800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    109 WHEDON RD APT 15 
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    City                 |    SYRACUSE
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    State                |    NY
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    Zip                  |    13219-1855
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    Country              |    US
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    Telephone            |    315-289-3740
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    506881
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    F341836
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    License Number State |    NY
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