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General NPI Number Information
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NPI Number | 1588706147
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Entity Type | Individual
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Provider Name | JOHN RICHARD SCHNEIDER PHD
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5331 SW MACADAM AVE SUITE # 397
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City | PORTLAND
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State | OR
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Zip | 97239-3871
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Country | US
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Telephone | 503-281-8828
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Fax | 503-228-4732
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Provider Business Mailing Address
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Address Line | 3570 SW RIVER PARKWAY SUITE # 601
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City | PORTLAND
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State | OR
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Zip | 97239
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Country | US
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Telephone | 503-280-9833
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0354
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License Number State | OR
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