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General NPI Number Information
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NPI Number | 1699793802
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Entity Type | Individual
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Provider Name | NANCY R. WISCHMEYER-SCHAUB
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 750 W HIGH ST SUITE 100
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City | LIMA
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State | OH
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Zip | 45801-2969
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Country | US
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Telephone | 419-227-0918
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 951999
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City | CLEVELAND
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State | OH
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Zip | 44193-0021
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Country | US
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Telephone | 419-996-5141
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 2871
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License Number State | OH
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