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General NPI Number Information
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NPI Number | 1609084193
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Entity Type | Individual
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Provider Name | AUDREY ANN SCHOENTHAL LMFT, LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1403 18TH ST.
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City | SPIRIT LAKE
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State | IA
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Zip | 51360
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Country | US
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Telephone | 712-336-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 507 22ND ST
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City | SPIRIT LAKE
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State | IA
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Zip | 51360-1521
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Country | US
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Telephone | 712-336-2298
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 00184
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License Number State | IA
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