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General NPI Number Information
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NPI Number | 1639729239
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Entity Type | Individual
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Provider Name | ANNA FAITH SCHNEIDER
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Gender | Female
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 7660 GROSS POINT RD
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City | SKOKIE
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State | IL
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Zip | 60077-2613
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Country | US
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Telephone | 847-967-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 1960 N LINCOLN PARK W APT 512
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City | CHICAGO
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State | IL
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Zip | 60614-6527
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Country | US
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Telephone | 847-560-4101
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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