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General NPI Number Information
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NPI Number | 1356962039
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Entity Type | Individual
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Provider Name | EMILY SCHROEDER WEBBER PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 1601 E BROADWAY STE 240
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City | COLUMBIA
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State | MO
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Zip | 65201-8022
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Country | US
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Telephone | 573-815-8145
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Fax | 573-815-3832
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Provider Business Mailing Address
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Address Line | 1601 E BROADWAY STE 240
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City | COLUMBIA
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State | MO
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Zip | 65201-8022
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Country | US
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Telephone | 573-815-8145
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Fax | 573-815-3832
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2024040294
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License Number State | MO
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