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General NPI Number Information
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NPI Number | 1518938406
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Entity Type | Individual
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Provider Name | JANE SCHRADER MD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 2100 NW 100TH ST STE 100
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City | DES MOINES
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State | IA
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Zip | 50325-5329
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Country | US
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Telephone | 515-270-0351
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 NW 100TH ST STE 100
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City | DES MOINES
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State | IA
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Zip | 50325-5329
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Country | US
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Telephone | 515-270-0351
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20852
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License Number State | IA
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