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General NPI Number Information
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NPI Number | 1811901796
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Entity Type | Organization
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Legal Business Name | JACK H SCHNEL EDD ABPP PC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 734 SILVER SPUR ROAD #203
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274
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Country | US
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Telephone | 310-377-5477
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Fax | 310-377-7259
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Provider Business Mailing Address
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Address Line | 734 SILVER SPUR ROAD #203
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274
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Country | US
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Telephone | 310-377-5477
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Fax | 310-377-7259
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. JACK H SCHNEL
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Credential | EDD
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Telephone | 310-377-5477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY9595
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12935
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License Number State | CA
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