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General NPI Number Information
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NPI Number | 1851302384
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Entity Type | Individual
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Provider Name | STEFANIE F. SCHRUM MD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 1 CHILDRENS WAY # 653
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City | LITTLE ROCK
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State | AR
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Zip | 72202-3500
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Country | US
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Telephone | 501-364-1100
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Fax | 501-364-4082
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Provider Business Mailing Address
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Address Line | PO BOX 191 PROVIDER ENROLLMENT DEPT
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City | ROCKLAND
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State | DE
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Zip | 19732-0191
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Country | US
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Telephone | 302-651-6212
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Fax | 302-651-4945
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME62432
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E-11007
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | ME62432
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License Number State | FL
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