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NPI 1679835409

NPI 1679835409 : LISA ANNA MARIA SCHUR M.S.ED : NEW ROCHELLE, NY

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General NPI Number Information
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    NPI Number           |    1679835409
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    Entity Type          |    Individual 
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    Provider Name        |    LISA ANNA MARIA SCHUR M.S.ED
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2012
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    Last Update Date     |    06/07/2012
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Provider Practice Location Address
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    Address Line         |    20 CEDAR ST 
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    City                 |    NEW ROCHELLE
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    State                |    NY
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    Zip                  |    10801-5247
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    Country              |    US
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    Telephone            |    914-576-5292
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    33 BUENA VISTA AVE 
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    City                 |    PEEKSKILL
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    State                |    NY
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    Zip                  |    10566-1913
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    Country              |    US
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    Telephone            |    914-433-1243
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    NY
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