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General NPI Number Information
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NPI Number | 1699755330
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Entity Type | Individual
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Provider Name | GARY BLAINE SCHREINER PHD, LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 195 W 14TH STE C
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City | RIFLE
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State | CO
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Zip | 81650-4717
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Country | US
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Telephone | 970-945-2840
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Fax | 970-945-2893
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Provider Business Mailing Address
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Address Line | 2700 GILSTRAP CT STE 230
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-8735
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Country | US
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Telephone | 970-945-2840
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Fax | 970-945-2893
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 341
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License Number State | CO
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