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General NPI Number Information
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NPI Number | 1457447161
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Entity Type | Individual
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Provider Name | HERBERT ARTHUR SCHWAGER PHD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 203 N MANZANITA DR # B
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City | PAYSON
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State | AZ
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Zip | 85541-4417
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Country | US
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Telephone | 928-474-6617
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Fax | 928-474-7059
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Provider Business Mailing Address
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Address Line | 203 N MANZANITA DR # B
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City | PAYSON
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State | AZ
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Zip | 85541-4417
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Country | US
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Telephone | 928-474-6617
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Fax | 928-474-7059
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0628
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 582
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License Number State | AK
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