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General NPI Number Information
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NPI Number | 1487818001
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Entity Type | Individual
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Provider Name | KATIE SUE SCHROEDER MD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2008
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 1225 S GRAND BLVD FL 3
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1016
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Country | US
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Telephone | 314-257-3760
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Fax | 314-257-3761
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Provider Business Mailing Address
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Address Line | 1008 S SPRING AVE FL 2
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City | SAINT LOUIS
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State | MO
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Zip | 63110-2520
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Country | US
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Telephone | 314-977-2140
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125-053486
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2014018696
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License Number State | MO
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