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General NPI Number Information
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NPI Number | 1790036564
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Entity Type | Organization
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Legal Business Name | SCHAUM FAMILY CLINIC
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 1824 MURDOCH AVE STE 212
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City | PARKERSBURG
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State | WV
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Zip | 26101-3230
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Country | US
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Telephone | 304-424-4645
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Fax | 304-424-4646
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Provider Business Mailing Address
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Address Line | 1824 MURDOCH AVE STE 212
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City | PARKERSBURG
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State | WV
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Zip | 26101-3230
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Country | US
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Telephone | 304-424-4645
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Fax | 304-424-4646
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIM L SCHAUM
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Credential | MSN,FNP BC
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Telephone | 740-434-3334
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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 | 49247
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License Number State | WV
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