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General NPI Number Information
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NPI Number | 1639094188
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Entity Type | Individual
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Provider Name | JENNIFER JACKSON SCHNEIDER
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 1828 E FLORENCE BLVD
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City | CASA GRANDE
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State | AZ
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Zip | 85122-4783
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Country | US
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Telephone | 520-381-6150
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Fax | 520-381-6060
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Provider Business Mailing Address
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Address Line | 7710 S MIDWAY RD
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City | CASA GRANDE
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State | AZ
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Zip | 85193-7642
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Country | US
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Telephone | 520-709-2917
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 180788
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License Number State | AZ
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