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General NPI Number Information
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NPI Number | 1386877942
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Entity Type | Individual
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Provider Name | JILL SCHLEIFER SCHNEGGENBURGER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 445 TREMONT ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-6150
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Country | US
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Telephone | 716-859-2562
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Fax |
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Provider Business Mailing Address
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Address Line | 445 TREMONT ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-6150
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Country | US
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Telephone |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.097888
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 268460
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License Number State | NY
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