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General NPI Number Information
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NPI Number | 1770112328
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Entity Type | Individual
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Provider Name | STEPHANIE DANIELLE SCHIRDING MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1201 E MAIN ST
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City | COLE CAMP
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State | MO
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Zip | 65325-1256
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Country | US
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Telephone | 606-684-4116
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Fax | 660-668-4861
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Provider Business Mailing Address
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Address Line | 1201 E MAIN ST
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City | COLE CAMP
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State | MO
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Zip | 65325-1256
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Country | US
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Telephone | 660-668-4411
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Fax | 660-668-4861
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25624
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License Number State | NV
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