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NPI 1659469047

NPI 1659469047 : GWENDOLYN M. SCHAUER D.C. : OLYMPIA, WA

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General NPI Number Information
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    NPI Number           |    1659469047
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    Entity Type          |    Individual 
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    Provider Name        |    GWENDOLYN M. SCHAUER D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/11/2006
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    Last Update Date     |    08/16/2018
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Provider Practice Location Address
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    Address Line         |    3525 ENSIGN RD NE STE G 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98506-5065
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    Country              |    US
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    Telephone            |    360-705-1116
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    Fax                  |    360-236-0535
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Provider Business Mailing Address
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    Address Line         |    3525 ENSIGN RD NE STE G 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98506-5065
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    Country              |    US
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    Telephone            |    360-705-1116
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    Fax                  |    360-236-0535
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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       |    2556
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CH00002556
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    License Number State |    WA
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