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General NPI Number Information
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NPI Number | 1760632228
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Entity Type | Individual
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Provider Name | KRISTY LOVE SCHNEIDER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2008
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 423B MEMORIAL BLVD
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City | PICAYUNE
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State | MS
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Zip | 39466-5545
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Country | US
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Telephone | 769-242-2772
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Fax | 769-242-0513
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Provider Business Mailing Address
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Address Line | 423B MEMORIAL BLVD
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City | PICAYUNE
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State | MS
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Zip | 39466-5545
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Country | US
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Telephone | 769-242-2772
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Fax | 769-242-0513
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 6121
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License Number State | MS
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