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General NPI Number Information
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NPI Number | 1649649120
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Entity Type | Individual
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Provider Name | JACQUELINE RUTH SCHAEDE LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 1960 EAST OCEAN VIEW AVE
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City | NORFOLK
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State | VA
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Zip | 23503-2504
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Country | US
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Telephone | 757-664-6674
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Fax | 757-441-1152
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Provider Business Mailing Address
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Address Line | 1960 E OCEAN VIEW AVE
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City | NORFOLK
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State | VA
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Zip | 23503-2504
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Country | US
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Telephone | 757-664-6674
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Fax | 757-441-1152
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701002444
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717000906
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License Number State | VA
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