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NPI 1477638393

NPI 1477638393 : JON DAWSE SCHNEIDER MD : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1477638393
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    Entity Type          |    Individual 
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    Provider Name        |    JON DAWSE SCHNEIDER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/26/2006
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    Last Update Date     |    01/24/2023
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Provider Practice Location Address
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    Address Line         |    901 BOREN AVE SUITE 1910
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98104-3595
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    Country              |    US
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    Telephone            |    206-381-0608
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2710A E YESLER WAY UNIT A 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98122-6160
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    Country              |    US
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    Telephone            |    206-381-0608
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD00027877
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    License Number State |    WA
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