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NPI 1831596378

NPI 1831596378 : SARA JANE SCHOENHAAR PHARMD : WAUSAU, WI

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General NPI Number Information
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    NPI Number           |    1831596378
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    Entity Type          |    Individual 
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    Provider Name        |    SARA JANE SCHOENHAAR PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/27/2014
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    Last Update Date     |    07/03/2020
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Provider Practice Location Address
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    Address Line         |    504 S 17TH AVE 
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    City                 |    WAUSAU
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    State                |    WI
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    Zip                  |    54401-5201
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    Country              |    US
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    Telephone            |    715-848-8730
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    Fax                  |    715-848-8385
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Provider Business Mailing Address
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    Address Line         |    504 S 17TH AVE 
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    City                 |    WAUSAU
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    State                |    WI
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    Zip                  |    54401-5201
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    Country              |    US
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    Telephone            |    715-848-8730
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    Fax                  |    715-848-8385
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    17579-40
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    License Number State |    WI
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