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General NPI Number Information
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NPI Number | 1518520055
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Entity Type | Individual
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Provider Name | KATHERINE SCHOENECK
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Gender | Female
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 2508 W BROADWAY
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-3509
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Country | US
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Telephone | 712-328-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 2508 W BROADWAY
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-3509
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14286
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22069
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License Number State | IA
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