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General NPI Number Information
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NPI Number | 1467684100
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Entity Type | Individual
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Provider Name | DINA GAIL SCHROEDER LMP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 2727 138TH STREET CT E
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City | TACOMA
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State | WA
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Zip | 98446-1844
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Country | US
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Telephone | 253-278-7100
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Fax | 253-212-2144
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Provider Business Mailing Address
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Address Line | PO BOX 44298
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City | TACOMA
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State | WA
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Zip | 98448-0298
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Country | US
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Telephone | 253-278-7100
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Fax | 253-212-2144
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA42904
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License Number State | FL
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