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General NPI Number Information
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NPI Number | 1669027736
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Entity Type | Individual
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Provider Name | GENEVIEVE SCHADE OD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1111A FORT CAMPBELL BLVD
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City | CLARKSVILLE
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State | TN
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Zip | 37042-6426
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Country | US
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Telephone | 931-645-0346
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 THRASHER DR
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City | CLARKSVILLE
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State | TN
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Zip | 37040-1450
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG003560
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3970
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License Number State | TN
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