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General NPI Number Information
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NPI Number | 1851445340
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Entity Type | Individual
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Provider Name | KIM MARIE SCHAUS MD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 4800 NE STALLINGS DR STE 106
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1251
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Country | US
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Telephone | 936-569-0000
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Fax | 833-645-2183
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Provider Business Mailing Address
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Address Line | 4800 NE STALLINGS DR STE 106
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1251
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Country | US
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Telephone | 936-569-0000
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Fax | 833-645-2183
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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 | 20916
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 20916
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | L4837
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License Number State | TX
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