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General NPI Number Information
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NPI Number | 1588365696
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Entity Type | Individual
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Provider Name | NICOLE M SCHWAB PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 950 WARREN AVE FL 2
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-1432
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Country | US
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Telephone | 401-606-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 490 ANGELL ST APT 111E
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City | PROVIDENCE
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State | RI
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Zip | 02906-4418
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Country | US
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Telephone | 716-462-8447
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | RPH06080
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License Number State | RI
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