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General NPI Number Information
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NPI Number | 1669286092
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Entity Type | Individual
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Provider Name | PATRICIA SCHROADER
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1055 NATIONAL MINE RD
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City | MADISONVILLE
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State | KY
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Zip | 42431-8913
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Country | US
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Telephone | 270-821-8884
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Fax | 270-821-8885
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Provider Business Mailing Address
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Address Line | 203 N ELM ST
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City | HENDERSON
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State | KY
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Zip | 42420-3132
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Country | US
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Telephone | 270-826-8761
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Fax | 270-826-8737
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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