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General NPI Number Information
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NPI Number | 1841790045
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Entity Type | Individual
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Provider Name | DAWN SCHENONE MSACN, CNS, LDN
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Gender | Female
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Dates
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Enumeration Date | 02/15/2018
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 1162 SHORELINE DR
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City | PINGREE GROVE
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State | IL
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Zip | 60140-2017
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Country | US
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Telephone | 224-242-2587
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Fax |
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Provider Business Mailing Address
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Address Line | 202 S RANDALL RD UNIT 5762
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City | ELGIN
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State | IL
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Zip | 60121-2729
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Country | US
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Telephone | 224-242-2587
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 164.007814
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License Number State | IL
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