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NPI 1437137650

NPI 1437137650 : JOANN SCHAFER NP : MCCORDSVILLE, IN

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General NPI Number Information
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    NPI Number           |    1437137650
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    Entity Type          |    Individual 
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    Provider Name        |    JOANN SCHAFER NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/06/2006
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    Last Update Date     |    03/06/2014
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Provider Practice Location Address
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    Address Line         |    5189 WEST 600 N 
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    City                 |    MCCORDSVILLE
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    State                |    IN
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    Zip                  |    46055
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    Country              |    US
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    Telephone            |    317-355-5189
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    Fax                  |    317-324-4047
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Provider Business Mailing Address
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    Address Line         |    5189 W 600 N 
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    City                 |    MCCORDSVILLE
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    State                |    IN
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    Zip                  |    46055-9715
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    Country              |    US
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    Telephone            |    317-335-5189
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    Fax                  |    317-324-4073
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    71002588A
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    License Number State |    IN
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