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General NPI Number Information
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NPI Number | 1780717447
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Entity Type | Individual
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Provider Name | BIANCA MARIA SCHAEFER PHD
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 526 MAPLE AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5544
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Country | US
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Telephone | 518-587-4161
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Fax | 518-587-5134
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Provider Business Mailing Address
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Address Line | 210 FEATHERWOOD CT
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City | SCHENECTADY
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State | NY
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Zip | 12303-5704
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Country | US
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Telephone | 515-428-6061
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Fax | 518-356-1834
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 015972-1
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License Number State | NY
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