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NPI 1710529870

NPI 1710529870 : PEARL SCHUMAN MSCN : VANCOUVER, WA

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General NPI Number Information
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    NPI Number           |    1710529870
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    Entity Type          |    Individual 
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    Provider Name        |    PEARL SCHUMAN MSCN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/10/2019
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    Last Update Date     |    10/10/2019
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Provider Practice Location Address
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    Address Line         |    10806 SE 18TH CIR 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98664-6194
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    Country              |    US
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    Telephone            |    360-826-8690
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10806 SE 18TH CIR 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98664-6194
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    Country              |    US
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    Telephone            |    360-298-4358
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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        |    133NN1002X
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    Taxonomy Name        |    Nutrition Education Nutritionist
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    License Number       |    
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    License Number State |    
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