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General NPI Number Information
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NPI Number | 1740734300
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Entity Type | Individual
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Provider Name | REGINALD ARNOLD SCHOONOVER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 6412 WESTERN STAR RUN
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1247
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Country | US
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Telephone | 202-342-1419
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Fax | 866-689-1732
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Provider Business Mailing Address
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Address Line | 6412 WESTERN STAR RUN
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1247
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Country | US
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Telephone | 202-342-1419
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Fax | 866-689-1732
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 02549
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1550
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License Number State | DC
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