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General NPI Number Information
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NPI Number | 1811463979
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Entity Type | Individual
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Provider Name | KENDALL SCHAFER
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Gender | Female
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 3580 NORLAND CIR
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City | NORFOLK
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State | VA
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Zip | 23513-4018
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Country | US
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Telephone | 504-388-9092
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Fax |
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Provider Business Mailing Address
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Address Line | 3580 NORLAND CIR
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City | NORFOLK
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State | VA
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Zip | 23513-4018
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Country | US
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Telephone |
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTT.200835
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5435
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119007416
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4777
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License Number State | AL
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