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General NPI Number Information
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NPI Number | 1528213774
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Entity Type | Individual
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Provider Name | MRS. MARILYN L SCHROEDER
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Gender | Female
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 300 S BRUCE ST
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City | MARSHALL
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State | MN
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Zip | 56258-1934
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Country | US
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Telephone | 507-532-2687
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Fax | 507-537-9190
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Provider Business Mailing Address
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Address Line | 2744 220TH AVE P O BOX 283
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City | IVANHOE
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State | MN
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Zip | 56142-4110
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Country | US
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Telephone | 507-694-1862
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Fax | 507-537-9190
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2668
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License Number State | MN
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