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General NPI Number Information
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NPI Number | 1710444211
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Entity Type | Individual
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Provider Name | JENNIFER L SCHWINNE
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Gender | Female
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 204 MUNSON ST
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City | GRANVILLE
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State | OH
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Zip | 43023-1284
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Country | US
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Telephone | 740-321-1214
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Fax | 740-321-1264
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Provider Business Mailing Address
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Address Line | 144 W HIGH ST
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City | MOUNT GILEAD
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State | OH
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Zip | 43338-1215
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Country | US
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Telephone | 419-947-7500
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Fax | 419-751-7041
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT-2107
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License Number State | OH
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