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General NPI Number Information
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NPI Number | 1568351963
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Entity Type | Individual
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Provider Name | NICOLE D SCHABARUM RN
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 100 S LOS ROBLES AVE STE 501
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City | PASADENA
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State | CA
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Zip | 91101-2453
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Country | US
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Telephone | 626-564-3027
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S LOS ROBLES AVE STE 501
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City | PASADENA
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State | CA
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Zip | 91101-2453
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95207638
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License Number State | CA
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