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General NPI Number Information
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NPI Number | 1558577676
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Entity Type | Individual
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Provider Name | JEANNINE MICHELLE SCHUMAN MCCOY MD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 1110 E 32ND ST
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City | AUSTIN
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State | TX
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Zip | 78722-2211
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Country | US
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Telephone | 512-320-8388
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Fax |
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Provider Business Mailing Address
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Address Line | 10608 SCOTLAND WELL DR
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City | AUSTIN
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State | TX
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Zip | 78750-3482
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Country | US
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Telephone | 216-233-2986
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | P7563
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License Number State | TX
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