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General NPI Number Information
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NPI Number | 1689233488
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Entity Type | Individual
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Provider Name | LINDSEY MARIE SCHLAEG PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 3633 MUNICIPAL DR
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City | MCHENRY
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State | IL
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Zip | 60050-5434
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Country | US
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Telephone | 779-244-3072
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Fax |
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Provider Business Mailing Address
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Address Line | 9140 RED BARN DR
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City | WONDER LAKE
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State | IL
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Zip | 60097-8150
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Country | US
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Telephone | 518-926-0681
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 085008679
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | NY
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