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General NPI Number Information
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NPI Number | 1518224393
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Entity Type | Individual
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Provider Name | JILL DURKEE SCHAEFER M.A.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 1991 CROCKER RD SUITE 600
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City | WESTLAKE
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State | OH
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Zip | 44145-6969
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Country | US
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Telephone | 216-765-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 1991 CROCKER RD SUITE 600
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City | WESTLAKE
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State | OH
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Zip | 44145-6969
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Country | US
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Telephone | 216-765-3377
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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 | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | A. 01222
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License Number State | OH
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