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General NPI Number Information
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NPI Number | 1609764539
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Entity Type | Individual
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Provider Name | GWENDOLYN STARR SCHROEDER
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Gender | Female
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2195 SPRING VALLEY RD
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City | LANCASTER
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State | PA
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Zip | 17601-2443
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Country | US
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Telephone | 717-406-7201
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Fax | 717-406-7201
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Provider Business Mailing Address
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Address Line | 2195 SPRING VALLEY RD
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City | LANCASTER
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State | PA
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Zip | 17601-2443
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Country | US
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Telephone | 717-406-7201
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Fax | 717-406-7201
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN626249
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN626249
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License Number State | PA
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