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General NPI Number Information
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NPI Number | 1841633484
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Entity Type | Individual
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Provider Name | TABITHA LEE SCHRUFER-POLAND M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2013
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 2415 N ORANGE AVE STE 402
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City | ORLANDO
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State | FL
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Zip | 32804-5505
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Country | US
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Telephone | 407-622-0560
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Fax |
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Provider Business Mailing Address
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Address Line | 2415 N ORANGE AVE STE 402
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City | ORLANDO
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State | FL
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Zip | 32804-5505
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Country | US
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Telephone | 407-622-0560
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0064785
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2016014747
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | ME163120
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License Number State | FL
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