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General NPI Number Information
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NPI Number | 1730470998
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Entity Type | Individual
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Provider Name | STEFANIE HINES SCHUMACHER RPT
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Gender | Female
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 48 COLT SQUARE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2813
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Country | US
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Telephone | 479-582-2740
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 NORTH SUMMERSBY
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-9024
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Country | US
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Telephone | 479-527-6957
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT 3352
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License Number State | AR
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