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General NPI Number Information
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NPI Number | 1609503424
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Entity Type | Individual
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Provider Name | MOLLY B SCHNAUBELT DC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 19102 WA-410
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City | BONNEY LAKE
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State | WA
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Zip | 98391
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Country | US
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Telephone | 253-528-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 2813 QUEENS WAY APT 1A
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City | MILTON
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State | WA
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Zip | 98354-9031
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Country | US
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Telephone | 858-373-7056
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH61325336
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License Number State | WA
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