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General NPI Number Information
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NPI Number | 1588098107
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Entity Type | Individual
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Provider Name | DR. AMY MISUN SCHNAIDT
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Gender | Female
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 3881 E COMMERCE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95834-4017
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Country | US
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Telephone | 916-265-9604
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Fax | 916-265-9595
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Provider Business Mailing Address
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Address Line | 2440 DANIELS ST COSTCO PHARMACY DEPARTMENT
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City | MANTECA
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State | CA
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Zip | 95337-6745
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Country | US
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Telephone | 209-825-8209
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Fax | 209-825-8206
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 62306
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License Number State | CA
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