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NPI 1356985493

NPI 1356985493 : ANGELA BRIGNAC SCHRAM HIS : ORANGE, TX

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General NPI Number Information
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    NPI Number           |    1356985493
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA BRIGNAC SCHRAM HIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2019
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    Last Update Date     |    10/04/2021
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Provider Practice Location Address
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    Address Line         |    3730 N 16TH ST 
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    City                 |    ORANGE
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    State                |    TX
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    Zip                  |    77632-4629
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    Country              |    US
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    Telephone            |    409-238-3111
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    Fax                  |    409-238-3110
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Provider Business Mailing Address
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    Address Line         |    3730 N 16TH ST 
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    City                 |    ORANGE
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    State                |    TX
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    Zip                  |    77632-4629
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    Country              |    US
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    Telephone            |    409-238-3111
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    Fax                  |    409-238-3110
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    80593
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    1228
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    License Number State |    LA
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Taxonomy #3
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    HA0634
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    License Number State |    MS
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