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General NPI Number Information
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NPI Number | 1407096837
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Entity Type | Individual
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Provider Name | DONNA LEE SCHLOSS N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 1807 WATER STREET RAPHAEL COMMUNITY FREE CLINIC
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City | KERRVILLE
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State | TX
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Zip | 78028
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Country | US
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Telephone | 830-895-4201
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Fax |
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Provider Business Mailing Address
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Address Line | 233 LOS CEDROS LOOP
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City | KERRVILLE
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State | TX
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Zip | 78028-2977
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Country | US
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Telephone | 830-792-6189
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 219454
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License Number State | TX
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