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General NPI Number Information
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NPI Number | 1396064945
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Entity Type | Individual
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Provider Name | MARLAYNA F SCHAFFER CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 1015 BOWLES AVE
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City | FENTON
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State | MO
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Zip | 63026-2394
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Country | US
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Telephone | 636-496-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 13515 BARRETT PARKWAY DR STE 170
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City | BALLWIN
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State | MO
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Zip | 63021-5870
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Country | US
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Telephone | 314-775-2816
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2003016034
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2010012180
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License Number State | MO
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