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General NPI Number Information
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NPI Number | 1477392959
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Entity Type | Individual
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Provider Name | SHONNA JOY SCHNEIDER PHD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 1554 NORTHERN BLVD
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City | MANHASSET
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State | NY
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Zip | 11030
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Country | US
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Telephone | 516-719-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 266 MAPLE ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3206
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Country | US
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Telephone | 516-712-4337
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 02641701
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License Number State | NY
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