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NPI 1568629095

NPI 1568629095 : DAWN SCHOFIELD : SAFETY HARBOR, FL

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General NPI Number Information
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    NPI Number           |    1568629095
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    Entity Type          |    Individual 
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    Provider Name        |    DAWN SCHOFIELD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/21/2008
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    Last Update Date     |    05/21/2008
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Provider Practice Location Address
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    Address Line         |    685 10TH AVE N 
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    City                 |    SAFETY HARBOR
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    State                |    FL
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    Zip                  |    34695-2921
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    Country              |    US
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    Telephone            |    727-479-9792
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    685 10TH AVE N 
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    City                 |    SAFETY HARBOR
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    State                |    FL
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    Zip                  |    34695-2921
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    Country              |    US
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    Telephone            |    727-479-9792
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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        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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