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General NPI Number Information
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NPI Number | 1578161766
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Entity Type | Individual
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Provider Name | REBECCA SCHABEN
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Gender | Female
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 5801 TAMARACK BLVD
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City | COLUMBUS
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State | OH
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Zip | 43229-3747
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Country | US
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Telephone | 614-436-6009
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Fax |
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Provider Business Mailing Address
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Address Line | 8800 FRAZEYSBURG RD
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City | DRESDEN
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State | OH
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Zip | 43821-9473
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Country | US
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Telephone | 740-975-9958
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0027675
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License Number State | OH
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