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General NPI Number Information
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NPI Number | 1821483603
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Entity Type | Individual
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Provider Name | JONATHAN SCHNACK RDCS RVT RCS RVS RPH
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Gender | Male
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 1776 OLD MIDDLEFIELD WAY UPPR HEALTH
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-1809
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Country | US
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Telephone | 971-239-9027
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | SALEM
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State | OR
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Zip | 97308-0008
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Country | US
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Telephone | 971-239-9027
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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 | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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