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General NPI Number Information
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NPI Number | 1609143825
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Entity Type | Individual
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Provider Name | REGINA SCHRENK
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Gender | Female
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 2679 N ATLANTIC AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32118-3205
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Country | US
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Telephone | 386-672-2008
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Fax | 386-677-9627
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Provider Business Mailing Address
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Address Line | 2679 N ATLANTIC AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32118-3205
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Country | US
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Telephone | 386-672-2008
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Fax | 386-677-2379
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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 | 17259
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 038794
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License Number State | TX
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