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General NPI Number Information
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NPI Number | 1700395787
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Entity Type | Individual
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Provider Name | GRACE ELIZABETH SCHUMACHER RD
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Gender | Female
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Dates
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Enumeration Date | 09/22/2017
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 10355 E PALMER WASILLA HWY # 120-A
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City | PALMER
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State | AK
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Zip | 99645-8876
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Country | US
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Telephone | 469-275-4507
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Fax | 469-278-6762
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Provider Business Mailing Address
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Address Line | 1150 S. COLONY WAY STE 3, PMB 269
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City | PALMER
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State | AK
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Zip | 99645-6972
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Country | US
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Telephone | 907-631-9005
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 247100
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number | 247100
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 105564
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number | 247100
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License Number State | AK
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