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General NPI Number Information
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NPI Number | 1740596113
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Entity Type | Individual
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Provider Name | BRANDI SCHAEFER NP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 329 PINE ST
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City | CLARKSON
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State | NE
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Zip | 68629-4094
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Country | US
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Telephone | 402-892-3466
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Fax |
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Provider Business Mailing Address
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Address Line | 7261 MERCY RD
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City | OMAHA
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State | NE
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Zip | 68124-2311
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A145550
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 111167
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License Number State | NE
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