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General NPI Number Information
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NPI Number | 1518607340
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Entity Type | Individual
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Provider Name | SYDNEY SCHOEN MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 6500 SUMMERHILL RD STE 2A
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City | TEXARKANA
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State | TX
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Zip | 75503-1721
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Country | US
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Telephone | 903-336-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 SUMMERHILL RD APT 1509
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City | TEXARKANA
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State | TX
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Zip | 75503-4638
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Country | US
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Telephone | 903-490-6168
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 83906
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License Number State | TX
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